NPIMap

Organization Active NPI

Richard E Parcinski DO FCCP LLC

  • Internal Medicine Physician
  • St Peters, MO
National Provider Identifier
1043476385
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100526 Issued in MO
Legal business name
RICHARD E PARCINSKI DO FCCP LLC
Practice address
6 Jungermann Circle
Ste 121
St Peters, MO 63376-1618
Phone
(636) 936-1809
Fax
(636) 936-3655
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Eugene Parcinski Sr., DONPI 1295703072
Title
Owner
Phone
(636) 936-1809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 100526 MO Primary

Addresses

Primary practice location

6 Jungermann Circle
Ste 121
St Peters, MO 63376-1618

Mailing address

6 Jungermann Circle
Ste 121
St Peters, MO 63376-1618
Phone (636) 936-1809

Other identifiers 1

IdentifierTypeStateIssuer
24776850MedicaidMO

Other names 1

  • Richard E Parcinski DO FCCP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000609 MO Part B Supplier - Clinic/Group Practice 1254408230 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1043476385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIRCLE",
            "address_2": "STE 121",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633761618",
            "telephone_number": "636-936-1809",
            "fax_number": "636-936-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIRCLE",
            "address_2": "STE 121",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633761618",
            "telephone_number": "636-936-1809",
            "fax_number": "636-936-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E PARCINSKI DO FCCP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "PARCINSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-936-1809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "100526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24776850",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard E Parcinski DO FCCP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.