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LESLIE SHOCK
NPI 1649628439
Surgery - Plastic and Reconstructive Surgery in Columbia, MO

Active since June 02, 2016
3220 BLUFF CREEK DR, COLUMBIA, MO 65201(573) 224-8200 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leslie Shock NPPES

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

LESLIE SHOCK (NPI 1649628439) is an individual plastic and reconstructive surgery provider in Columbia, Missouri, licensed in Missouri (2016017558) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1649628439
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameLESLIE SHOCK
Location Address3220 BLUFF CREEK DRColumbia, MO 65201-3663
Mailing Address3220 Bluff Creek DrColumbia, MO 65201-3663 · (573) 224-8200
Phone(573) 224-8200
Sole ProprietorNo
Enumeration DateJune 2, 2016
Last NPPES UpdateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1649628439 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 · 2016017558
Definition

A surgeon who specializes in plastic and reconstructive surgery.

3220 BLUFF CREEK DR, Columbia, MO 65201
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Other Identifiers 1

Other1053046888Organization Npi

Other Providers at the Same Location NPPES 6

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

JAMES BRUCE PITT D.O.
Surgery
3220 BLUFF CREEK DR, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 443-8773
COLUMBIA BARIATRIC ASSOCIATES
Surgery
3220 BLUFF CREEK DR, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 777-1042
COLUMBIA SURGICAL SERVICES, INC.
Clinic/Center (Multi-Specialty)
3220 BLUFF CREEK DR, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 443-8773
PAUL WILLIAM HUMPHREY M.D.
Surgery (Vascular Surgery)
3220 BLUFF CREEK DR, STE 100
COLUMBIA, MO 65201
Boone County (573) 443-8773
JOHN GRAMLING ADAMS JR. M.D.
Surgery (Vascular Surgery)
3220 BLUFF CREEK DR, STE 100
COLUMBIA, MO 65201
Boone County (573) 443-8773
SPS PRACTICE GROUP, LLC
Plastic Surgery
3220 BLUFF CREEK DR
COLUMBIA, MO 65201
Boone County (573) 690-6129

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 Leslie Shock's NPI number?

The NPI number for Leslie Shock is 1649628439. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Leslie Shock located?

Leslie Shock practices at 3220 Bluff Creek Dr, Columbia, MO 65201. The listed phone number is (573) 224-8200.

What is Leslie Shock's specialty?

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

When was this NPI record last updated?

The NPPES record for Leslie Shock was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.