PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC – Plastic Surgery Physician, NPI 1063739159

PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC is a healthcare provider. based in Columbia, Missouri. specializing in Plastic Surgery Physician. The organization holds a License No. R5577 (MO). The NPI Number for PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC is 1063739159

Main info

Organization
Name
PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
NPI
1063739159
Phone
(573) 876-1700
Address
1701 E BROADWAY
Authorized Official
RICHARD ROYER ADMINISTRATOR
Enumeration Date
28 April 2010
Last Update Date
28 April 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC

  • 1701 E BROADWAY

    SUITE 304

    COLUMBIA, MO 652018018

    Phone: (573) 876-1700

    Fax: (573) 876-1705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65201)

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Frequently asked questions

What federal number belongs to PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC?
The federal identifier for PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC is NPI 1063739159.
Does this profile mean PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC is currently active?
Yes — PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC appears active in the national provider directory.
Can you summarize PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC's specialty in plain language?
Clinically, the directory lists PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC's primary listing?
We display Columbia, Missouri because that is what the record indicates for PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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