Genesis Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GENESIS PLASTIC SURGERY PC

Practice address

100 Westwoods Dr
Liberty, MO 64068

Phone

(816) 781-3371

Fax

(816) 781-5167

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Fred E Thompson, MD

Title

Owner

Phone

(816) 781-3371

Specialties & licenses 1

Addresses

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.

• Frederick Eugene Thompson, MD

  • Plastic Surgery Physician
  • Liberty, MO
  • NPI 1073643573
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407991680",
    "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": "64068",
            "telephone_number": "816-781-3371",
            "fax_number": "816-781-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-3371",
            "fax_number": "816-781-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-3371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Annette Gercken, MOT, OTR/L

• Plastic Surgery Physician in Liberty, MO
• Providers in Liberty, 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 Aug 22, 2020; 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.