Individual provider Active NPI

Amanda Leigh Parsley, D.O.

  • Pediatrics Physician
  • Granite City, IL
National Provider Identifier
1770719171
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036131746 Issued in IL
Practice address
2166 Madison Avenue
Granite City, IL 62040
Phone
(618) 219-3318
Fax
(618) 452-3329
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39020000X MO
Pediatrics Physician 208000000X 036131746 IL Primary

Addresses

Primary practice location

2166 Madison Avenue
Granite City, IL 62040

Mailing address

2166 Madison Avenue
Granite City, IL 62040
Phone (618) 219-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000042 MO Practitioner - Pediatric Medicine 4284885732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
39020000XMOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince May 1, 2025 Accepting new patients
SSM Health Care Group Pediatrics CurrentSince May 1, 2025 Accepting new patients
SSM Cardinal Glennon Children's Hospital Pediatrics CurrentSince Jul 1, 2012 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics CurrentSince Jul 1, 2012 Accepting new patients
Affinia Healthcare Current Accepting new patients
SSM Health Care St Louis CurrentSince Jul 1, 2012 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics Current Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM Health Care St. Louis Pediatrics Past Accepting new patients
SSM Health Care St. Louis Pediatrics Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM Medical Group Inc. Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

2927 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 268-4070

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100

4414 N Florissant Ave
Saint Louis, MO 63107
Phone (314) 814-8515

Interoperability endpoints

  • Direct secure messaging: thomas.mckinney.p1@direct.affiniahealthcare.nextgenshare.com
  • Direct secure messaging: amanda.parsley.p1@direct.affiniahealthcare.nextgenshare.com
  • Direct secure messaging: aparsley2367@direct-ehr-ssmhc.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1770719171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVENUE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVENUE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036131746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.