NPIMap

Organization Active NPI

Precision Plastic Surgery PC

  • Plastic Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1184728784
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2002010424 Issued in MO
Legal business name
PRECISION PLASTIC SURGERY PC
Practice address
224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3513
Phone
(314) 843-0900
Fax
(314) 843-0904
NPI assigned
Sep 12, 2006
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Gerald Lionelli, M.D.NPI 1336258177
Title
Owner
Phone
(314) 843-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 2002010424 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3513

Mailing address

680 Craig Rd
Suite 304-a
Saint Louis, MO 63141-7120
Phone (314) 843-0900

National Provider Directory

National Provider Directory

Locations

680 Craig Rd
Ste 304A
Saint Louis, MO 63141

5770 Mexico Rd
Saint Peters, MO 63376
Phone (636) 922-5575

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1184728784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CRAIG RD",
            "address_2": "SUITE 304-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417120",
            "telephone_number": "314-843-0900",
            "fax_number": "314-843-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 450 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-843-0900",
            "fax_number": "314-843-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "LIONELLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-843-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2002010424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.