NPIMap

Organization Active NPI

Precision Plastic Surgery, PC St. Lukes Office

  • Specialist
  • Chesterfield, MO
National Provider Identifier
1194159012
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRECISION PLASTIC SURGERY, PC ST. LUKES OFFICE
Practice address
224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3451
Phone
(314) 843-0900
Fax
(314) 843-0904
NPI assigned
Aug 27, 2013
Organization subpart
Yes
Parent organization
PRECISION PLASTIC SURGERY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3451

Mailing address

10004 Kennerly Rd
Suite 260a
Saint Louis, MO 63128-2141
Phone (314) 848-0900

Other names 1

  • Precision Plastic Surgery PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Precision Plastic Surgery P2 organizations share this tax ID, including this one
Part of
Precision Plastic Surgery P

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10004 Kennerly Rd
Ste 260A
Saint Louis, MO 63128
Phone (314) 434-0900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1194159012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 260A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-848-0900",
            "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": "630173451",
            "telephone_number": "314-843-0900",
            "fax_number": "314-843-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PLASTIC SURGERY, PC ST. LUKES OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION PLASTIC SURGERY, PC",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LIONELLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "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": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Plastic Surgery PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 27, 2013; 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.