Active NPI
Laura Christine Depalma, DO
- Sports Medicine (Orthopaedic Surgery) Physician
- Saint Louis, MO
National Provider Identifier
1710129630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 2017032648
- Practice address
- 4921 Parkview PL
Ste 6a/6B/12a
Saint Louis, MO 63110-1032 - Phone
- (314) 747-2500
- Fax
- (314) 747-2598
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2017032648 | MO | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 2017032648 | MO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2017032648 | MO | Primary |
Addresses
Primary practice location
4921 Parkview PL
Ste 6a/6B/12a
Saint Louis, MO 63110-1032
Mailing address
660 S Euclid Ave
CB 8233
Saint Louis, MO 63110-1010
Phone (314) 747-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL | |
| 200048988 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- ldepalma242232@direct.carenet.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1710129630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8233",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-747-2500",
"fax_number": "314-747-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"address_2": "STE 6A/6B/12A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-747-2500",
"fax_number": "314-747-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPALMA",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2017032648",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MO",
"license": "2017032648",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MO",
"license": "2017032648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200048988",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}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 Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.