GENESIS PLASTIC SURGERY PC NPI 1275808024

NPI Information

NPI: 1275808024
Provider Name: GENESIS PLASTIC SURGERY PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
100 WESTWOODS DR.
LIBERTY, MO
ZIP 64068
Phone: (816) 781-3371
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GENESIS PLASTIC SURGERY PC is a medical specialty clinic center in Liberty, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GENESIS PLASTIC SURGERY PC NPI is 1275808024. The provider is registered as an organization entity type.

The provider's business location address is:

100 WESTWOODS DR.
LIBERTY, MO
ZIP 64068-181
Phone: (816) 781-3371

The provider's authorized official is Frederick E. Thompson .
The authorized official title is Owner and has the following contact phone number (816) 781-3371.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	R8A10	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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