Organization Active NPI

Karen Eshraghi, MD Lake of the Ozarks, LLC

  • Dermatology Physician
  • Osage Beach, MO
National Provider Identifier
1003003872
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KAREN ESHRAGHI, MD LAKE OF THE OZARKS, LLC
Practice address
5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030
Phone
(573) 302-4696
Fax
(573) 302-4698
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Eshraghi, MDNPI 1942299326
Title
Owner
Phone
(573) 302-4696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030

Mailing address

5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030
Phone (573) 302-4696

National Provider Directory

National Provider Directory

Locations

851 E 5th St
Ste 160
Washington, MO 63090
Phone (636) 239-8858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1003003872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 OSAGE BEACH PKWY STE 100",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653030",
            "telephone_number": "573-302-4696",
            "fax_number": "573-302-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 OSAGE BEACH PKWY STE 100",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653030",
            "telephone_number": "573-302-4696",
            "fax_number": "573-302-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ESHRAGHI, MD LAKE OF THE OZARKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ESHRAGHI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-302-4696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.