Genesis Plastic Surgery PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

R8A10 Issued in MO

Legal business name

GENESIS PLASTIC SURGERY PC

Practice address

100 Westwoods Dr.
Liberty, MO 64068-1181

Phone

(816) 781-3371

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Frederick E. Thompson, M.D.

Title

Owner

Phone

(816) 781-3371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1275808024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTWOODS DR.",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTWOODS DR.",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-3371",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "R8A10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee Anna Gaylord
• Fathi Geelle
• Sumaya Geelle
• Herbert Douglas Geiger, MA, LPC, NCC
• Debbie Mayte Gelista
• Genesis Plastic Surgery PC
• Gentle Gynecology P.C.
• Jaryn S Gentry, FNP-C
• Santosh George, M.D.
• Karin Gerberding

• All providers in Liberty, MO
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.