MARY KAITLIN MARTIN PARKS (NPI# 1700447695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700447695 |
| Entity Type | Individual |
| Full Name | MARY KAITLIN MARTIN PARKS |
| Other Name | MARY KAITLIN PARKS |
| Credential | DO |
| Practice Address |
1 Barnes-jewish Plaza St. Louis MO 63110 |
| Mailing Address |
660 S Euclid Ave Dept Of Saint Louis MO 63110-1010 |
| Practice Telephone | 3143625000 |
| Mailing Telephone | 3143625000 |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2019019109 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1 BARNES-JEWISH PLAZA |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705609 | Margery Gang | Internal Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-17 |
| 1467078337 | Cosette Champion | Internal Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-17 |
| 1013533991 | Michael David Bern | Internal Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-17 |
| 1528683000 | Joshua Michael Mendoza | Internal Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-10 |
| 1447811765 | Timothy Kundaje | Psychiatry & Neurology | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-26 |
| 1467013045 | Kim-long R Nguyen | Emergency Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-25 |
| 1831750587 | Brendon Burke | Anesthesiology | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-24 |
| 1548821416 | Stephanie Marie Socias | Internal Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-21 |
| 1922669860 | Vivek Gupta | Neurological Surgery | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-21 |
| 1992366926 | Cameron Alissa Casson | Surgery | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| 1972816106 | Kenyatta Evans | Emergency Medicine | 3635 Vista At Grand Blvd, 3rd Floor West Pavillion, Room 320, St. Louis, MO 63110-1571 | 2010-07-16 |
| 1467013045 | Kim-long R Nguyen | Emergency Medicine | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-25 |
| 1821583626 | Nathanael James Smith | Emergency Medicine | One Barnes-jewish Hospital Plaza, Mailstop # 90-29-928, St. Louis, MO 63110 | 2018-06-25 |
| 1548515570 | David Sprowls | Emergency Medicine | 3635 Vista At Grand Blvd, Saint Louis University, St. Louis, MO 63110 | 2012-07-16 |
| 1750571840 | Eman Gibral Spaulding | Emergency Medicine | 3635 Vista Ave, St. Louis, MO 63110 | 2007-07-26 |
| 1053408864 | Michael Paul Fullenkamp | Emergency Medicine | 1 Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2006-10-05 |
| 1003861543 | Christopher Sallee | Emergency Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.