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PARKCREST ORTHOPEDICS LLC NPI 1568485936


NPI Information

NPI: 1568485936
Provider Name: PARKCREST ORTHOPEDICS, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
845 N NEW BALLAS CT
STE 130
CREVE COEUR, MO
ZIP 63141
Phone: (314) 997-1777
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PARKCREST ORTHOPEDICS, LLC is an orthopaedic surgery in Creve Coeur, MO. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PARKCREST ORTHOPEDICS, LLC NPI is 1568485936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 N NEW BALLAS CT
STE 130
CREVE COEUR, MO
ZIP 63141-169
Phone: (314) 997-1777
Fax: (314) 997-6277

The provider's authorized official is James P Emanuel .
The authorized official title is Doctor/owner and has the following contact phone number (314) 997-1777.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryR1E25MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000013398MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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