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Active NPI 1649628439 Individual Practitioner Female Practitioner

Leslie Shock

Surgery - Plastic and Reconstructive Surgery • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Leslie Shock is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Columbia, MO. Practice services are available at 3220 BLUFF CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3220 Bluff Creek Dr

Columbia, MO 652013663

Telephone 5732248200
Associated Practice Facility / Clinic
🏢 Columbia Bariatric Associates Facility NPI 1194995811

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Columbia, MO (65 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-03
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MO 2016017558

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Organization Npi
1053046888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1205830023

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Humphrey , MD

Surgery - Vascular Surgery

NPI 1528062338

Doctor of Medicine (M.D.)

Dr. John Adams , MD

Surgery - Vascular Surgery

NPI 1710981444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 03, 2023

Registered at 3220 BLUFF CREEK DR, COLUMBIA, MO 652013663 (Tel: 5732248200)

📍
Updated Business Mailing Address April 03, 2023

Registered at 3220 BLUFF CREEK DR, COLUMBIA, MO 652013663 (Tel: 5732248200)

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2016

Registered at 1 HOSPITAL DR, DIVISION OF PLASTIC SURGERY, COLUMBIA, MO 652121000 (Tel: 5738822275)

📍
Updated Business Mailing Address June 02, 2016

Registered at 1 HOSPITAL DR, COLUMBIA, MO 652121000

👤
Provider Name / Credentials Updated June 02, 2016

Recorded as LESLIE SHOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Surgery (License #2016017558 in MO)

🟢
Initial NPI Registration & Enumeration June 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649628439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2016
Last Update: April 03, 2023
Sole Proprietor: No

Mailing Address

3220 Bluff Creek Dr

Columbia, MO 652013663

Phone: 5732248200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.