Active NPI
David B Huang, M.D.
- Specialist
- Osage Beach, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109950
- Practice address
- 985 Executive Drive
Osage Beach, MO 65065 - Phone
- (573) 348-4863
- Fax
- (573) 348-4863
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 109950 | MO | Primary |
Addresses
Primary practice location
985 Executive Drive
Osage Beach, MO 65065
Mailing address
985 Executive Dr
Osage Beach, MO 65065-3496
Phone (573) 348-4863
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204838908 | Medicaid | MO | |
| 128576 | Other | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Medical College of Wisconsin, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
985 Executive Dr
Osage Beach, MO 65065-3496
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 34 |
| Melanoma (skin cancer) excision | 85 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 12 |
| Skin biopsy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109950 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osage Valley Plastic Surgery PC | Specialist | Current | Accepting new patients |
Locations
985 Executive Dr
Osage Beach, MO 65065
Phone (573) 348-4863
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Osage Beach, MO
- NPI 1245596501
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063418879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 EXECUTIVE DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653496",
"telephone_number": "573-348-4863",
"fax_number": "573-348-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 EXECUTIVE DRIVE",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "65065",
"telephone_number": "573-348-4863",
"fax_number": "573-348-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "DAVID",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "109950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204838908",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "128576",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.