PARKSIDE SURGERY AND MEDICINE


Address: 6125 Clayton Ave, Suite 430, Saint Louis, MO 63139-3265
Phone: 3147683634

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery R5845 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO BCBS MO 197390 01

Office Location

Street Address 6125 CLAYTON AVE
SUITE 430
City SAINT LOUIS
State MO
Zip Code 63139-3265

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63139

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Dataset Information

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.

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