Parkcrest Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARKCREST PLASTIC SURGERY

Practice address

845 North New Ballas Road
Suite 300
Saint Louis, MO 63141-7083

Phone

(314) 569-0130

Fax

(314) 569-4072

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles R. Nathan, M.D.

Title

Plastic Surgeon

Phone

(314) 569-1030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1396849451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-569-0130",
            "fax_number": "314-569-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-569-0130",
            "fax_number": "314-569-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCREST PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "314-569-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Rabbitt Park, AUD
• Nancy A Park, PHARM.D.
• Simin Park, MD
• William Donghee Park, MD
• Nadeem D Parkar, MD
• Parkcrest Plastic Surgery
• Parkcrest Plastic Surgery, Inc.
• Parker Scott Enterprises LLC
• Lindsay Parker-Klimpel
• Akia' Parker

• 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 29, 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.