Organization Active NPI

Plastic Surgery Concepts, PC

  • Plastic and Reconstructive Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1073729604
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2001004855 Issued in MO
Legal business name
PLASTIC SURGERY CONCEPTS, PC
Practice address
13131 Tesson Ferry Rd
Suite 215
Saint Louis, MO 63128-3887
Phone
(314) 270-9680
Fax
(314) 270-9681
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Authorized official

Name
Thomas V Olivier, MD
Title
President
Phone
(314) 270-9680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 2001004855 MO Primary

Addresses

Primary practice location

13131 Tesson Ferry Rd
Suite 215
Saint Louis, MO 63128-3887

Mailing address

13131 Tesson Ferry Rd
Suite 215
Saint Louis, MO 63128-3887
Phone (314) 270-9680

National Provider Directory

National Provider Directory

Locations

13131 Tesson Ferry Rd
Ste 215
Saint Louis, MO 63128
Phone (314) 270-9680

10018 Kennerly Rd
Ste 3
Saint Louis, MO 63128
Phone (314) 525-8100

2900 Lemay Ferry Rd
Ste 225
Saint Louis, MO 63125
Phone (314) 894-4684

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665878400000",
    "number": "1073729604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD",
            "address_2": "SUITE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-270-9680",
            "fax_number": "314-270-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD",
            "address_2": "SUITE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-270-9680",
            "fax_number": "314-270-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CONCEPTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-270-9680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2001004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; 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.