Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Plastic Surgery Center of St Joseph, Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1508862996

Plastic Surgery Center of St Joseph, Inc is an Ambulatory Surgical Clinic/Center in Saint Joseph, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2111 N Woodbine Rd
Saint Joseph, MO 64506-2440
Phone: (816) 364-6416
Fax: (816) 364-5320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 136-0 (MO)

Record details

NPI number1508862996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael De Priest — Medical Director · (816) 364-6446
NPI enumeratedJune 22, 2005
Last updated in NPPESDecember 31, 2014
Mailing address2111 N Woodbine Rd, Saint Joseph, MO 64506-2440

Other providers in Saint Joseph