NPIMap

Organization Active NPI

Healthcare Medicare

  • Adult Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1649869678
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEALTHCARE MEDICARE
Practice address
7700 Forsyth Blvd
Saint Louis, MO 63105-1810
Phone
(601) 329-1321
NPI assigned
Jan 14, 2021
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Dr. Jacob Cornelius Parker, MD, DONPI 1326510751
Title
Customer Support
Phone
(601) 329-1321

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

7700 Forsyth Blvd
Saint Louis, MO 63105-1810

Mailing address

7700 Forsyth Blvd
Saint Louis, MO 63105-1810
Phone (314) 725-4477

Other names 1

  • Wellcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Facility Laboratory5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1649869678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051810",
            "telephone_number": "314-725-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051810",
            "telephone_number": "601-329-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MEDICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "CUSTOMER SUPPORT",
        "authorized_official_telephone_number": "601-329-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.