Osage Valley Plastic Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MO109950 Issued in MO

Legal business name

OSAGE VALLEY PLASTIC SURGERY PC

Practice address

985 Executive Dr
Osage Beach, MO 65065-3496

Phone

(573) 348-4863

Fax

(573) 348-4965

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By 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

David B Huang, M.D.NPI 1063418879

Title

Owner/Operator

Phone

(573) 348-4863

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• David B Huang, M.D.

  • Specialist
  • Osage Beach, MO
  • NPI 1063418879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1245596501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 EXECUTIVE DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653496",
            "telephone_number": "573-348-4863",
            "fax_number": "573-348-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 EXECUTIVE DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653496",
            "telephone_number": "573-348-4863",
            "fax_number": "573-348-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE VALLEY PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "573-348-4863",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "MO109950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204838908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onsite Rehabilitation, PC
• Osage Beach Center for Behavioral Health, LLC (Osage Beach Center for Behavioral Health)
• Osage Beach Family Eyecare Inc.
• Osage Eye Clinic PC
• Osage Family Clinic, LLC
• Kelan Lane Osborn
• Carla Beth Ostronic, P.A.
• Ozark Rehabilitation & Health Care Center LLC
• Paige Hedgpath OD, PC (Eyes on Missouri)
• Nicole E. Parker, PSYD

• Specialist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.