PARKSIDE SURGERY AND MEDICINE NPI 1497944094

NPI Information

  • NPI: 1497944094
  • Provider Name: PARKSIDE SURGERY AND MEDICINE
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 6125 CLAYTON AVE
    SUITE 430
    SAINT LOUIS, MO
    ZIP 63139
  • Phone: (314) 768-3634

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NPI Details

PARKSIDE SURGERY AND MEDICINE is a surgery in Saint Louis, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PARKSIDE SURGERY AND MEDICINE NPI is 1497944094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6125 CLAYTON AVE
SUITE 430
SAINT LOUIS, MO
ZIP 63139-265
Phone: (314) 768-3634
Fax: (314) 768-3638

The provider's authorized official is Julian C Mosley .
The authorized official title is General Surgeon/owner and has the following contact phone number (314) 768-3634.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 10/18/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryR5845MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1197390OTHERMISSOURIBCBS MO

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: 11/21/2025

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