Active NPI
St Louis Cosmetic Surgery
- Plastic and Reconstructive Surgery Physician
- Chesterfield, MO
National Provider Identifier
1205023405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 13172549
- Legal business name
- ST LOUIS COSMETIC SURGERY
- Practice address
- 17300 N Outer 40 Rd
Suite 300
Chesterfield, MO 63005 - Phone
- (636) 530-6161
- Fax
- (636) 777-7500
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Burton
- Title
- Practice Manager
- Phone
- (636) 530-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 13172549 | MO | Primary |
Addresses
Primary practice location
17300 N Outer 40 Rd
Suite 300
Chesterfield, MO 63005
Mailing address
17300 N Outer 40 Rd
Suite 300
Chesterfield, MO 63005
Phone (636) 530-6161
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2311896 | St Louis Cosmetic Surgery LLC | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
17300 North Outer 40 Rd
Ste 300
Chesterfield, MO 63005
Phone (636) 530-6161
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Chesterfield, MO
- NPI 1134159189
-
- Specialist
- Chesterfield, MO
- NPI 1750318085
-
- Plastic and Reconstructive Surgery Physician
- Saint Louis, MO
- NPI 1477723799
-
- Specialist
- Chesterfield, MO
- NPI 1518994482
-
- Plastic Surgery Physician
- Chesterfield, MO
- NPI 1538505250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1205023405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17300 N OUTER 40 RD",
"address_2": "SUITE 300",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63005",
"telephone_number": "636-530-6161",
"fax_number": "636-777-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 N OUTER 40 RD",
"address_2": "SUITE 300",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63005",
"telephone_number": "636-530-6161",
"fax_number": "636-777-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LOUIS COSMETIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "636-530-6161",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MO",
"license": "13172549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
- Sherri Sprehe, MD
- Springer Physical Therapy LLC
- Lisa Jo Springer, PT
- Julie Spruill, MS, RD, LD
- Square One Surgical Associates
- St Louis Foot and Ankle Institute, LLC
- St Louis Pain Consultants LLC
- St Louis Pediatric Associates, Inc
- St Louis Surgical Consultants, P.C.
- St Louis Women's Healthcare Group PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.