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DR. JAI S PARK M.D. NPI 1013972702


NPI Information

NPI: 1013972702
Provider Name: DR. JAI S PARK, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Individual

Specialization: Spinal Cord Injury Medicine

PECOS Registration: Yes

Address:
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 652-4100
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DR. Jai S Park, M.D. is a spinal cord injury medicine physical medicine rehabilitation in Saint Louis, MO. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. DR. Jai S Park, M.D. NPI is 1013972702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO
ZIP 63125-181
Phone: (314) 652-4100

The NPI 1013972702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 5/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury Medicine35615MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAD000MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.