JOSE MARINO PARRA (NPI# 1821283193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283193 |
| Entity Type | Individual |
| Full Name | JOSE MARINO PARRA |
| Credential | MD |
| Practice Address |
201 Bjc Saint Peters Dr Ste. 200 Saint Peters MO 63376-3385 |
| Mailing Address |
670 Mason Ridge Center Dr Ste. 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6369169615 |
| Practice Fax Number | 6369169850 |
| Mailing Telephone | 6369169615 |
| Mailing Fax Number | 6369169850 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2009020188 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2009020188 | MO | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2009020188 | MO | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
125-057368 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725506 | Jose S Parra | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-4701 | 2017-01-03 |
| 1659640183 | Jose Duarte Parra | Family Medicine | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2011-12-29 |
| 1932163169 | Jose R Parra | Surgery | 25 Monument Rd, Suite 105, York, PA 17403-5060 | 2006-04-14 |
| Street Address |
201 BJC SAINT PETERS DR STE. 200 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349609 | Kurt A Piening | Internal Medicine | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2005-07-11 |
| 1972059897 | Forefront Dermatology, S.c. | Dermatology | 201 Bjc Saint Peters Dr, Suite 101, Saint Peters, MO 63376 | 2016-08-31 |
| 1497101133 | Jennifer Hunn | Clinical Nurse Specialist | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3385 | 2016-05-12 |
| 1144656893 | Melinda Mcfadden | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2013-09-25 |
| 1952560260 | Dianna J. Ohlman | Nurse Practitioner | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2008-06-03 |
| 1033314976 | Kellie M Odonnell-stockton | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1336344274 | Kimberly G Weiss | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1639212335 | Ranjani P Ramanathan | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 206, Saint Peters, MO 63376-3385 | 2007-02-14 |
| 1376644484 | Stanley Mathew | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2006-09-25 |
| 1467562983 | Bibi Irum Hasnain | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105312 | 417 Sports Medicine and Orthopedics LLC | Family Medicine | 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 | 2020-08-17 |
| 1871115857 | Ben Heimos | Family Medicine | 1 S Compton Ave, Saint Louis, MO 63103-2001 | 2020-05-12 |
| 1639645070 | Bluetail Biologics LLC | Family Medicine | 17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 | 2018-10-23 |
| 1083096671 | Daniel O'loughlin | Family Medicine | 1605 Martin Springs Dr Ste 330, Rolla, MO 65401-2980 | 2015-06-19 |
| 1295175057 | Devin Willis | Family Medicine | 16555 Manchester Rd Ste 100, Wildwood, MO 63040 | 2013-06-26 |
| 1922377274 | Duocorp Enterprises, LLC | Family Medicine | 1525 E Republic Rd, Suite A115, Springfield, MO 65804-6527 | 2011-12-15 |
| 1689960171 | Nathan Lee Granneman | Family Medicine | 200 Corporate Lake Dr, Columbia, MO 65203-7172 | 2011-06-22 |
| 1063568640 | Christian Verry | Family Medicine | 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 | 2007-01-26 |
| 1922116763 | Kristin Suzanne Oliver | Family Medicine | 17300 North Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 | 2006-08-29 |
| 1942238027 | John J Dougherty | Family Medicine | 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 | 2006-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.