Patricia Realty

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PATRICIA REALTY

Doing business as

LAURIES SHOES

Practice address

9916 Manchester Rd
Saint Louis, MO 63122-1989

Phone

(314) 961-1642

NPI assigned

Apr 26, 2023

Organization subpart

Yes

Parent organization

LAURIES SHOESAs reported in NPPES

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

Authorized official

Name

Teena McAdams

Title

Accounting

Phone

(314) 604-2154

Specialties & licenses 1

Addresses

Other names 1

• LAURIES SHOES Doing business as

Part of

Patricia Realty

Locations

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1831887066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221989",
            "telephone_number": "314-961-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221989",
            "telephone_number": "314-961-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA REALTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURIES SHOES",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "TEENA",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "314-604-2154"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAURIES SHOES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Patino, OTR/L
• Radha Patnana, M.D.
• Kirtan Nandlalbhai Patolia, MD
• Setu Patolia
• Swati Patolia
• Patricia V Hearn
• Patricia Williamson FNP-C LLC
• Patricias Good Health Solutions
• Patrick H Durbin M.D.P.C.
• Aquila Patrick

• Preferred Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.