Active NPI
Parkcrest Orthopedics LLC
- Orthopaedic Surgery Physician
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2011001614
- Legal business name
- PARKCREST ORTHOPEDICS LLC
- Practice address
- 508 W Pine St
Farmington, MO 63640-1426 - Phone
- (314) 997-1777
- Fax
- (314) 997-6277
- NPI assigned
- Dec 5, 2014
- Last updated
- Dec 5, 2014
- 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. James Emanuel
- Title
- Doctor/Owner
- Phone
- (314) 997-1777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2011001614 | MO | Primary |
Addresses
Primary practice location
508 W Pine St
Farmington, MO 63640-1426
Mailing address
845 N New Ballas CT Ste 130
Creve Coeur, MO 63141-7169
Phone (314) 997-1777
National Provider Directory
National Provider Directory- Tax ID family
- Parkcrest Orthopedics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Waterloo, IL
- NPI 1346509403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Creve Coeur, MO
- NPI 1356365423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1568860641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N NEW BALLAS CT STE 130",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417169",
"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": "508 W PINE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401426",
"telephone_number": "314-997-1777",
"fax_number": "314-997-6277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKCREST ORTHOPEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "EMANUEL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "314-997-1777",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2011001614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
- Ozark Mountain Clinic LLC
- Ozark Mountain Clinic LLC (Ozark Mountain Clinic)
- Anthony Page
- Brandi Palmer
- Danny Parish Jr., BOCO
- Ron Alfred Parker, B.S.
- Parkland Health Center (Parkland Health Center - Farmington)
- Parkland Health Center (Family Care Pharmacy at Parkland Health Center)
- Parkland Health Center
- Parkland Health Center (Parkland Health Center Primary Care Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.