Facial Plastic & Cosmetic Surgery Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FACIAL PLASTIC & COSMETIC SURGERY CENTER LLC

Practice address

10448 Old Olive Street Rd
Suite 200
Saint Louis, MO 63141-5927

Phone

(314) 743-4000

Fax

(314) 743-8055

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Frank Simo, MD

Title

President, Owner

Phone

(314) 743-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1205018199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415927",
            "telephone_number": "314-743-4000",
            "fax_number": "314-743-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415927",
            "telephone_number": "314-743-4000",
            "fax_number": "314-743-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL PLASTIC & COSMETIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "SIMO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "314-743-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette R Fabick, PLPC
• Karen W. Fabre, M.A., L.P.C., N.C.C.
• Scott Adam Fabricant, MD
• Carmen M Fabry, LCSW
• Evan Elyse Facer, DO
• Factor Physical Therapy
• Michael Faddis, DDS
• Mitchell N Faddis, MD
• Nicholas Ronald Fadell
• Ruaa Mamoun Suliman Fadl, M.D.

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.