Active NPI
Sharad P. Parikh M.D.
- Clinical Medical Laboratory
- Florissant, MO
National Provider Identifier
1063597664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 33867
- Legal business name
- SHARAD P. PARIKH M.D.
- Practice address
- 11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778 - Phone
- (314) 972-0100
- Fax
- (314) 831-7632
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharad P Parikh, M.D.
- Title
- Owner
- Phone
- (314) 972-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 33867 | MO | Primary |
Addresses
Primary practice location
11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Mailing address
11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Phone (314) 972-0100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710886508 | Medicaid | MO | |
| P00653140 | Other | MO | RAILROAD MEDICARE |
| P00657419 | Other | IL | RAILROAD MEDICARE |
| 330001780 | Other | MO | RAILROAD MEDICARE |
Other names 1
- Biomedical Imaging
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- St Louis, MO
- NPI 1821004987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1063597664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 W FLORISSANT AVE",
"address_2": "SUITE 100",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336778",
"telephone_number": "314-972-0100",
"fax_number": "314-831-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11905 W FLORISSANT AVE",
"address_2": "SUITE 100",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336778",
"telephone_number": "314-972-0100",
"fax_number": "314-831-7632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARAD P. PARIKH M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "PARIKH",
"authorized_official_first_name": "SHARAD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-972-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "33867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710886508",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00653140",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00657419",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "330001780",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Biomedical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.