Aesthetic Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AESTHETIC MEDICAL ASSOCIATES, LLC

Practice address

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254

Phone

(314) 652-8923

Fax

(314) 652-8925

NPI assigned

Feb 8, 2007

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa L Hollie, MDNPI 1275532178

Title

President

Phone

(314) 652-8923

Specialties & licenses 1

Addresses

Locations

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.

• Melissa Louise Hollie, MD

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1275532178
  Authorized official Same address or phone

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1205977857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 LINDELL BLVD",
            "address_2": "STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083254",
            "telephone_number": "314-652-8923",
            "fax_number": "314-652-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 LINDELL BLVD",
            "address_2": "STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083254",
            "telephone_number": "314-652-8923",
            "fax_number": "314-652-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "HOLLIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-652-8923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Aegis Group Practice LLC
• Aegis Homecare LLC
• Aesthetic and Hand Surgery
• Aesthetic Dermatologic Surgery
• Aesthetic Surgery Associates Inc (Bodyaesthetic Plastic Surgery and Skincare)
• Affinia Healthcare (Salvation Army)
• Affinia Healthcare
• Affinia Healthcare
• Affinia Healthcare (Aspire Academy Confluence Charter School)

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.