Parkcrest Orthopedics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R5H37 Issued in MO

Legal business name

PARKCREST ORTHOPEDICS LLC

Practice address

965 Mattox Dr
Sullivan, MO 63080-2365

Phone

(314) 997-1777

Fax

(314) 997-6277

NPI assigned

Nov 30, 2007

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debbie M Strauss

Title

Practice Manager

Phone

(314) 997-1777

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Parkcrest Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Creve Coeur, MO
  • NPI 1568485936

  Member Of

  NPD member

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1225210222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-997-1777",
            "fax_number": "314-997-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 MATTOX DR",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802365",
            "telephone_number": "314-997-1777",
            "fax_number": "314-997-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCREST ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-997-1777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R5H37",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER NPI",
            "identifier": "1518968759",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1225210222",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kay Norris, PLPC
• Oluseyi Fadegbola Ogundimu, M.D.
• Alysa Oliver
• Jeffery Orr, DPT, PT
• Kelly D Paneitz, R.D., L.D.
• Christopher Allen Parks, DDS
• Parkway Pathology Group
• Patients First Health Care LLC
• Patients First Health Care LLC
• Patients First Health Care LLC

• Orthopaedic Surgery Physician in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.