Organization Active NPI

Plastic Surgery Center of St Louis PC

  • Specialist
  • Kirkwood, MO
National Provider Identifier
1073799292
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R2H37 Issued in MO
Legal business name
PLASTIC SURGERY CENTER OF ST LOUIS PC
Practice address
1001 S Kirkwood Rd
Ste 160
Kirkwood, MO 63122-7254
Phone
(314) 984-0461
Fax
(314) 909-8981
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Gregory C Rinehart, M.D.NPI 1548252554
Title
President
Phone
(314) 984-0461

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R2H37 MO Primary

Addresses

Primary practice location

1001 S Kirkwood Rd
Ste 160
Kirkwood, MO 63122-7254

Mailing address

1001 S Kirkwood Rd
Ste 160
Kirkwood, MO 63122-7254
Phone (314) 984-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000815 MO Part B Supplier - Clinic/Group Practice 0244312213 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkwood, MO

National Provider Directory

National Provider Directory

Locations

1001 S Kirkwood Rd
Ste 160
Saint Louis, MO 63122
Phone (314) 966-6393

1001 S Kirkwood Rd
Ste 1
Saint Louis, MO 63122

Practitioners & affiliated clinicians

Practitioners 1

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1073799292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD",
            "address_2": "STE 160",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227254",
            "telephone_number": "314-984-0461",
            "fax_number": "314-909-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD",
            "address_2": "STE 160",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227254",
            "telephone_number": "314-984-0461",
            "fax_number": "314-909-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF ST LOUIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "RINEHART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-984-0461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R2H37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.