NPIMap

Organization Active NPI

Midwest Plastic Surgery and Laser Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Independence, MO
National Provider Identifier
1881765337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
85-9 Issued in MO
Legal business name
MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC
Practice address
4820 S Arrowhead Dr
Independence, MO 64055-6980
Phone
(816) 795-5262
Fax
(816) 795-8979
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerome P. Lamb, M.D.
Title
President
Phone
(816) 795-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 85-9 MO Primary

Addresses

Primary practice location

4820 S Arrowhead Dr
Independence, MO 64055-6980

Mailing address

4820 S Arrowhead Dr
Independence, MO 64055-6980
Phone (816) 795-5262

Other names 1

  • The Plastic Surgery Technology Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881765337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556980",
            "telephone_number": "816-795-5262",
            "fax_number": "816-795-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556980",
            "telephone_number": "816-795-5262",
            "fax_number": "816-795-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "85-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plastic Surgery Technology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • 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.