PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
NPI 1063739159
Plastic Surgery in Columbia, MO

Active since April 28, 2010
1701 E BROADWAY, SUITE 304, COLUMBIA, MO 65201(573) 876-1700(573) 876-1705 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Plastic And Reconstructive Surgery Of Mid-missouri, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC (NPI 1063739159) is a healthcare organization registered as a plastic surgery in Columbia, Missouri and active in the NPI registry since April 2010. The organization lists Richard Royer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063739159
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
Location Address1701 E BROADWAY, SUITE 304Columbia, MO 65201-8018
Mailing Address1701 E Broadway, Suite 304Columbia, MO 65201-8018 · (573) 876-1700 · Fax (573) 876-1705
Fax(573) 876-1705
Organization SubpartNo
Authorized OfficialRichard RoyerAdministrator · (573) 777-1191
Enumeration DateApril 28, 2010
NPI 1063739159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MO · R5577
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1701 E BROADWAY, Columbia, MO 65201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1701 E BROADWAY, SUITE 304
COLUMBIA, MO 65201
Internal Medicine
1701 E BROADWAY, SUITE 203
COLUMBIA, MO 65201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1701 E BROADWAY, STE 302
COLUMBIA, MO 65201
Pediatrics
1701 E BROADWAY, SUITE 205
COLUMBIA, MO 65201
Preventive Medicine (Occupational Medicine)
1701 E BROADWAY, SUITE 204
COLUMBIA, MO 65201
Dietitian, Registered
1701 E BROADWAY
COLUMBIA, MO 65201
Dentist
1701 E BROADWAY, SUTIE 106
COLUMBIA, MO 65201
Internal Medicine
1701 E BROADWAY, SUITE 203
COLUMBIA, MO 65201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plastic And Reconstructive Surgery Of Mid-Missouri, Inc's NPI number?

The NPI number for Plastic And Reconstructive Surgery Of Mid-Missouri, Inc is 1063739159. It was assigned to this organization in the NPPES registry on April 28, 2010.

Where is Plastic And Reconstructive Surgery Of Mid-Missouri, Inc located?

Plastic And Reconstructive Surgery Of Mid-Missouri, Inc is located at 1701 E Broadway Suite 304, Columbia, MO 65201. The listed phone number is (573) 876-1700.

What is Plastic And Reconstructive Surgery Of Mid-Missouri, Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Plastic And Reconstructive Surgery Of Mid-Missouri, Inc was last updated on April 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.