Carol Ruth Mischnick, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

R9553 Issued in MO

Practice address

675 Old Ballas Rd
Ste 102
Creve Coeur, MO 63141-7083

Phone

(314) 432-7546

Fax

(314) 432-7550

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plastic Surgery Consultants, LTD.

  • Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1871560227
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407952237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD",
            "address_2": "STE 102",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-432-7546",
            "fax_number": "314-432-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD",
            "address_2": "STE 102",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-432-7546",
            "fax_number": "314-432-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHNICK",
        "first_name": "CAROL",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R9553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Miller, FNP
• Graeme Mindel, M.D.
• Lauren Minden
• Mindful Change STL LLC
• Minimed Distribution Corp.
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy # 03087)
• Missouri Imaging Affiliates LLC (Clinical PET of West County)
• Missouri Pain Specialists, LLC
• Missouri Professional Staffing Service Home Health Inc
• Lauren L Mitchell, PTA

• Plastic Surgery Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.