Parkside Surgery and Medicine

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R5845 Issued in MO

Legal business name

PARKSIDE SURGERY AND MEDICINE

Practice address

6125 Clayton Ave
Suite 430
Saint Louis, MO 63139-3265

Phone

(314) 768-3634

Fax

(314) 768-3638

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By 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

Julian C Mosley Jr., M.D.

Title

General Surgeon/Owner

Phone

(314) 768-3634

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1497944094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 CLAYTON AVE",
            "address_2": "SUITE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393265",
            "telephone_number": "314-768-3634",
            "fax_number": "314-768-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 CLAYTON AVE",
            "address_2": "SUITE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393265",
            "telephone_number": "314-768-3634",
            "fax_number": "314-768-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE SURGERY AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL SURGEON/OWNER",
        "authorized_official_telephone_number": "314-768-3634",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "R5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Parks
• Margo Parks, M.S
• Rachel Bell Parks, RD
• Sara Elizabeth Parks, OTR/L
• Wayne Joseph Parks
• Parkway Orthopaedic Group Inc
• Parkway Pathology Group, Inc.
• Daniel Parmeley, CRNA
• Justin Lane Parmely, MD
• Tracie G Parnell

• Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.