1295703072 NPI number — DR. RICHARD E PARCINSKI D.O.

Table of content: DR. RICHARD E PARCINSKI D.O. (NPI 1295703072)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295703072 NPI number — DR. RICHARD E PARCINSKI D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARCINSKI
Provider First Name:
RICHARD
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295703072
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4200 N CLOVERLEAF DR STE G
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PETERS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63376-6436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-936-1809
Provider Business Mailing Address Fax Number:
636-936-3655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4200 N CLOVERLEAF DR STE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PETERS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63376-6436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-936-1809
Provider Business Practice Location Address Fax Number:
636-936-3655
Provider Enumeration Date:
03/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  100526 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: 100526 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04-00378 . This is a "UHC PRIMARY CARE #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 290004262 . This is a "RR MEDICARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 3476 . This is a "BC/BS SPECIALTY #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: PC 10813 . This is a "CIGNA PROV #" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 174196 . This is a "HEALTHLINK" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 247768500 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 431682600633760000 . This is a "CHAMPUS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 037H1 . This is a "BC/BS PROV ELECTRO NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 48-00227 . This is a "UHC SPECIALTY # (227)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 349755800 . This is a "DEPART OF LABOR" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: P-65294144 . This is a "MULTI-PLAN PROV NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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