DR. JAI S PARK M.D.
NPI 1013972702
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Saint Louis, MO

Q: What is Jai Park's NPI number?

The NPI number for Jai Park is 1013972702. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Jai Park's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Q: When was this NPI record last updated?

The NPPES record for Jai Park was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2006PECOS Enrolled

1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125(314) 652-4100 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jai S Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAI S PARK M.D. (NPI 1013972702) is an individual spinal cord injury medicine provider in Saint Louis, Missouri, licensed in Missouri (35615) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013972702

Entity TypeIndividualFemale

Primary Taxonomy2081P0004X

Provider Legal NameDR. JAI S PARKCredential: M.D.

Location Address1 JEFFERSON BARRACKS DRSaint Louis, MO 63125-4181

Mailing Address310 Lincoln StWaterloo, IL 62298-1613 · (618) 939-8161

Phone(314) 652-4100

Sole ProprietorNo

Enumeration DateApril 18, 2006

Last NPPES UpdateMay 15, 2013

✔ NPI 1013972702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0004X

License✔ Licensed in MO · 35615

Definition

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.

1 JEFFERSON BARRACKS DR, Saint Louis, MO 63125

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Other Identifiers 1

Medicare UPINVAD000MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jai S Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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