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TODD PARKER PA-C
NPI 1366417552
Physician Assistant - Medical in Saint Louis, MO

Active since February 21, 2006PECOS Enrolled
3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-5000(314) 317-0606 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Todd Parker Pa-c NPPES

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

TODD PARKER PA-C (NPI 1366417552) is an individual medical provider in Saint Louis, Missouri, licensed in Missouri (2001007198) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1366417552
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTODD PARKERCredential: PA-C
Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329
Mailing Address12125 Woodcrest Executive Dr, Suite 220Saint Louis, MO 63141-5001 · (314) 317-0600 · Fax (314) 317-0606
Phone(314) 996-5000
Fax(314) 317-0606
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 21, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1366417552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MO · 2001007198
3015 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 1

Medicare UPINP62169MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Parker Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991286718
PECOS Enrollment IDI20260219003380
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.

MS. ASHLEY FRANCES MARIE PIKE FNP
Nurse Practitioner (Family)
3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
PAUL S PATANE M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330
MR. BLAIR ANTHONY MALENCH PA
Physician Assistant
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5225
ADNAN MANZOOR MD
Hospitalist
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5772
LAUREN MARIE HECHT RD, LD
Dietitian, Registered
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (573) 579-6375
DR. ALAN P LYSS MD
Internal Medicine (Hematology & Oncology)
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5514
VIRGILIO P DUMADAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4285
STEPHEN R DAVIS M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Parker's NPI number?

The NPI number for Todd Parker is 1366417552. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Todd Parker located?

Todd Parker practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5000.

What is Todd Parker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Todd Parker enrolled in Medicare?

Yes. Todd Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Todd Parker was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.