PARKSIDE SURGERY AND MEDICINE (NPI# 1497944094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497944094 |
Entity Type | Organization |
Organization Name | PARKSIDE SURGERY AND MEDICINE |
Practice Address |
6125 Clayton Ave Suite 430 Saint Louis MO 63139-3265 |
Practice Telephone | 3147683634 |
Practice Fax Number | 3147683638 |
Mailing Telephone | 3147683634 |
Mailing Fax Number | 3147683638 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |
Authorized Official Name | JULIAN C MOSLEY JR. (GENERAL SURGEON/OWNER) |
Authorized Official Telephone | 3147683634 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | R5845 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BCBS MO | 197390 | 01 |
Street Address |
6125 CLAYTON AVE SUITE 430 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63139-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083699359 | Robert P Tomkiewicz | Internal Medicine | 6125 Clayton Ave, #119, Saint Louis, MO 63139-3265 | 2005-12-09 |
1326266651 | Baraka Obstetrics and Gynecology | Specialist | 6125 Clayton Ave, Ste. 103, Saint Louis, MO 63139-3265 | 2007-04-23 |
1316057565 | Westend Medical Center PC | Specialist | 6125 Clayton Ave, Ste 118, Saint Louis, MO 63139-3265 | 2006-08-30 |
1740211606 | H Russell Searight | Psychologist | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-07-06 |
1225079791 | M Robert Hill Md | Internal Medicine | 6125 Clayton Ave, Ste 101, Saint Louis, MO 63139-3265 | 2006-06-08 |
1346293297 | Ann Lesley Mclaren | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-19 |
1023061926 | Michael T Railey | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-19 |
1538118492 | Forest Park Hospital Corp #1 | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-09 |
1942259809 | Jennifer Sw Gafford | Psychologist | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-09 |
1205896495 | Boris Khariton | Physical Medicine & Rehabilitation | 6125 Clayton Ave, Suite 101, Saint Louis, MO 63139-3265 | 2006-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
Find all providers in zip 63139 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
1962765974 | Lauren K. M. Barron | Surgery | 7421 Nottingham Ave, Saint Louis, MO 63119-3341 | 2012-06-25 |
1831452952 | Bola Gabriel Aladegbami | Surgery | 4901 Forest Park Ave Ste 630, Mail Stop 90-75-587, Saint Louis, MO 63108-1444 | 2012-06-22 |
1235491663 | Andrew Yeh | Surgery | 1 Childrens Pl Ste 6110, Saint Louis, MO 63110-1002 | 2012-06-12 |
1922310481 | Radhika Kausalya Smith | Surgery | 1040 N Mason Rd Ste 120, Ste 120, Saint Louis, MO 63141-6361 | 2010-07-12 |
1730316290 | Katherine Glover-collins | Surgery | 4921 Parkview Pl Ste 5f, Ste 5f, Saint Louis, MO 63110-1032 | 2009-06-11 |
1245473156 | Nishant Raj | Surgery | 11155 Dunn Rd Ste 108n, Saint Louis, MO 63136-6148 | 2009-04-08 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63139 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.