Organization Active NPI

Judith Gurley Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1760656607
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
114740 Issued in MO
Legal business name
JUDITH GURLEY PLASTIC SURGERY, LLC
Practice address
14825 N Outer 40
#350
Chesterfield, MO 63017-2152
Phone
(636) 812-4300
Fax
(636) 812-4307
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Judith Morin Gurley, M.D.
Title
Surgeon/Member
Phone
(636) 812-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 114740 MO Primary

Addresses

Primary practice location

14825 N Outer 40
#350
Chesterfield, MO 63017-2152

Mailing address

14825 N Outer 40
#350
Chesterfield, MO 63017-2152
Phone (636) 812-4300

National Provider Directory

National Provider Directory

Locations

14825 North Outer 40 Rd
Ste 350
Chesterfield, MO 63017
Phone (636) 812-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1760656607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "#350",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-812-4300",
            "fax_number": "636-812-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "#350",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-812-4300",
            "fax_number": "636-812-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH GURLEY PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MORIN",
        "authorized_official_title_or_position": "SURGEON/MEMBER",
        "authorized_official_telephone_number": "636-812-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "114740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.