Plastic and Reconstructive Surgery of Mid-Missouri, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

R5577 Issued in MO

Legal business name

PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC

Practice address

1701 E Broadway
Suite 304
Columbia, MO 65201-8018

Phone

(573) 876-1700

Fax

(573) 876-1705

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Richard Royer

Title

Administrator

Phone

(573) 777-1191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1063739159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY",
            "address_2": "SUITE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018018",
            "telephone_number": "573-876-1700",
            "fax_number": "573-876-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY",
            "address_2": "SUITE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018018",
            "telephone_number": "573-876-1700",
            "fax_number": "573-876-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-777-1191"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R5577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bruce Pitt, D.O.
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• Plastic Surgery Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.