Provider Demographics
NPI:1184601569
Name:METROPOLITAN PLASTIC SURGERY PC
Entity type:Organization
Organization Name:METROPOLITAN PLASTIC SURGERY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:SCHEU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-441-2340
Mailing Address - Street 1:70 JUNGERMANN CIR
Mailing Address - Street 2:STE 402
Mailing Address - City:ST PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1637
Mailing Address - Country:US
Mailing Address - Phone:636-441-2340
Mailing Address - Fax:636-441-2325
Practice Address - Street 1:70 JUNGERMANN CIR
Practice Address - Street 2:STE 402
Practice Address - City:ST PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1637
Practice Address - Country:US
Practice Address - Phone:636-441-2340
Practice Address - Fax:636-441-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR76592086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000014388Medicare ID - Type Unspecified
B18566Medicare UPIN