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ST LOUIS COSMETIC SURGERY
NPI 1205023405
Surgery - Plastic and Reconstructive Surgery in Chesterfield, MO

Active since October 02, 2007CLIA 26D2311896 · Waiver
17300 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63005(636) 530-6161(636) 777-7500 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Louis Cosmetic Surgery NPPES

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

ST LOUIS COSMETIC SURGERY (NPI 1205023405) is a healthcare organization registered as a plastic and reconstructive surgery in Chesterfield, Missouri and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Beth Burton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205023405
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameST LOUIS COSMETIC SURGERY
Location Address17300 N OUTER 40 RD, SUITE 300Chesterfield, MO 63005
Mailing Address17300 N Outer 40 Rd, Suite 300Chesterfield, MO 63005 · (636) 530-6161 · Fax (636) 777-7500
Phone(636) 530-6161
Fax(636) 777-7500
Organization SubpartNo
Authorized OfficialBeth BurtonPractice Manager · (636) 530-6161
Enumeration DateOctober 2, 2007
✔ NPI 1205023405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MO · 13172549
Definition
A surgeon who specializes in plastic and reconstructive surgery.
17300 N OUTER 40 RD, Chesterfield, MO 63005
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2311896

St Louis Cosmetic Surgery LLC · Chesterfield, MO
Active · expires Sep 30, 2026
CLIA Number26D2311896
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorHerluf G. Lund Jr
Laboratory Phone(314) 409-4884
Laboratory LocationSt Louis Cosmetic Surgery LLC17300 N Outer Forty Road, Suite 300, Chesterfield, MO 63005
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

LAURA ANN EDMUNDSON MPT
Physical Therapist
17300 N OUTER 40 RD, SUITE 202
CHESTERFIELD, MO 63005
St. Louis County (636) 728-1777
ERIN BERKOW SELTZER M.A.
Counselor
17300 N OUTER 40 RD, SUITE 212
CHESTERFIELD, MO 63005
St. Louis County (636) 532-8333
KEY ANESTHESIA PARTNERS
Nurse Anesthetist, Certified Registered
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (573) 686-5550
MISSOURI CENTER FOR REPRODUCTIVE MEDICINE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
17300 N OUTER 40 RD, SUITE 101
CHESTERFIELD, MO 63005
St. Louis County (573) 442-1886
JESSICA ASCHWEGE PT
Physical Therapist
17300 N OUTER 40 RD, SUITE 202
CHESTERFIELD, MO 63005
St. Louis County (636) 728-1777
PEDIATRIC NEURODEVELOPMENTAL CENTER LLC
Pediatrics
17300 N OUTER 40 RD, SUITE 205
CHESTERFIELD, MO 63005
St. Louis County (636) 778-9212
NATALIE CORZINE M.S., BCBA
Behavior Analyst
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (636) 778-9212
DREAMY TIME INC
Nurse Anesthetist, Certified Registered
17300 N OUTER 40 RD
CHESTERFIELD, MO 63005
St. Louis County (573) 686-5550

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 St Louis Cosmetic Surgery's NPI number?

The NPI number for St Louis Cosmetic Surgery is 1205023405. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is St Louis Cosmetic Surgery located?

St Louis Cosmetic Surgery is located at 17300 N Outer 40 Rd Suite 300, Chesterfield, MO 63005. The listed phone number is (636) 530-6161.

What is St Louis Cosmetic Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does St Louis Cosmetic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2311896) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Louis Cosmetic Surgery was last updated on October 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.