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PARKCREST PLASTIC SURGERY
NPI 1396849451
Specialist in Saint Louis, MO

Active since September 11, 2006
845 NORTH NEW BALLAS ROAD, SUITE 300, SAINT LOUIS, MO 63141(314) 569-0130(314) 569-4072 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkcrest Plastic Surgery NPPES

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

PARKCREST PLASTIC SURGERY (NPI 1396849451) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since September 2006. The organization lists Charles R. Nathan, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1396849451
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARKCREST PLASTIC SURGERY
Location Address845 NORTH NEW BALLAS ROAD, SUITE 300Saint Louis, MO 63141-7083
Mailing Address845 North New Ballas Road, Suite 300Saint Louis, MO 63141-7083 · (314) 569-0130 · Fax (314) 569-4072
Phone(314) 569-0130
Fax(314) 569-4072
Organization SubpartNo
Authorized OfficialCharles R. NathanPlastic Surgeon · (314) 569-1030
Enumeration DateSeptember 11, 2006
Last NPPES UpdateFebruary 29, 2008
✔ NPI 1396849451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
845 NORTH NEW BALLAS ROAD, Saint Louis, MO 63141
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Other Identifiers 1

Medicare UPING30579MO

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

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 Parkcrest Plastic Surgery's NPI number?

The NPI number for Parkcrest Plastic Surgery is 1396849451. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Parkcrest Plastic Surgery located?

Parkcrest Plastic Surgery is located at 845 North New Ballas Road Suite 300, Saint Louis, MO 63141. The listed phone number is (314) 569-0130.

What is Parkcrest Plastic Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Parkcrest Plastic Surgery was last updated on February 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.