ST LOUIS COSMETIC SURGERY
NPI 1205023405
Surgery - Plastic and Reconstructive Surgery in Chesterfield, MO
NPI Status: Active since October 02, 2007
Contact Information
17300 N OUTER 40 RD
SUITE 300
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 530-6161
Fax: (636) 777-7500
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 26D2311896
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2026
About ST LOUIS COSMETIC SURGERY
This page provides the complete NPI Profile along with additional information for St Louis Cosmetic Surgery, a provider established in Chesterfield, Missouri operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1205023405 assigned on October 2007. The practitioner's primary taxonomy code is 2086S0122X with license number 13172549 (MO). The provider is registered as an organization and their NPI record was last updated 19 years ago. St Louis Cosmetic Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Beth Burton (Practice Manager)
- NPI
- 1205023405
- Provider Name
- ST LOUIS COSMETIC SURGERY
- Entity Type
- Organization
- Location Address
- 17300 N OUTER 40 RD SUITE 300 CHESTERFIELD, MO 63005
- Location Phone
- (636) 530-6161
- Location Fax
- (636) 777-7500
- Mailing Address
- 17300 N OUTER 40 RD SUITE 300 CHESTERFIELD, MO 63005
- Mailing Phone
- (636) 530-6161
- Mailing Fax
- (636) 777-7500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2007
- Last Update Date
- 10-02-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13172549
- License State
- MO
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2311896
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- HERLUF G. LUND JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Louis Cosmetic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ST LOUIS COSMETIC SURGERY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205023405, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
CHESTERFIELD, MO 63005
CHESTERFIELD, MO 63005
CHESTERFIELD, MO 63005
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205023405, enumerated as an "organization" on October 02, 2007.
The provider is located at 17300 N OUTER 40 RD SUITE 300 CHESTERFIELD, MO 63005 and the phone number is (636) 530-6161.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
