Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Plastic Surgery Concepts, PC

Organization Plastic Surgery Physician · NPI 1578718375

Plastic Surgery Concepts, PC provides Plastic Surgery Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd Ste 137A
Saint Louis, MO 63128-2141 Not confirmed with CMS for 17 years — call before visiting
Phone: (314) 997-8828
Fax: (314) 432-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 2001004855 (MO)

Record details

NPI number1578718375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Olivier — Owner · (314) 997-8828
NPI enumeratedNovember 20, 2008
Last updated in NPPESNovember 20, 2008
Mailing address11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029

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