Jacob Parke (NPI# 1669886537, PAC ID# 9638394992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1669886537 |
| PAC ID by PECOS | 9638394992 |
| Professional Enrollment ID | I20191008000447 |
| Full Name | Jacob Parke |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Address |
607 S New Ballas Rd Suite 3100 St Louis MO 63141-8219 |
| Phone Number | 3142518850 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5395768253 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 | 3142518850 | MERCY CLINIC UROLOGY LLC |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurdarshan Sandhu | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Adam Salaber | Physician Assistant | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Amanda Heisel | Nurse Practitioner | Mercy Clinic Urology LLC | 901 Patients 1st Dr, Suite 3400, Washington, MO 63090-4700 |
| Thomas H Landon | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Charles Gill | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Patricia W Heller | Urology | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Sunil M Apte | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Robin D Goff | Nurse Practitioner | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Carrie Elise Johans | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Rajen H Doshi | Urology | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Street Address |
607 S NEW BALLAS RD SUITE 3100 |
| City | ST LOUIS |
| State | MO |
| Zip | 63141-8219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurdarshan Sandhu | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Heide A Rodgers | Hematology/oncology | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| James H Boyd | Otolaryngology | Sound Health Services PC | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8234 |
| Kavitha V Kosuri | Internal Medicine | Mercy Clinic Oncology LLC | 607 S New Ballas Rd, 3300 Mercy Clinic Cancer Care, St Louis, MO 63141-8219 |
| James Richard Martin | Otolaryngology | Sound Health Services PC | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8234 |
| Gail A Hurt | Nurse Practitioner | Mercy Clinic Palliative Care LLC | 607 S New Ballas Rd, Suite 3300, Saint Louis, MO 63141-8219 |
| Kenneth E Marciniak | Qualified Audiologist | Sound Health Services PC | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8234 |
| James M Hartman | Otolaryngology | Sound Health Services PC | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8234 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Theresa A Roche | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Kathleen A Taggart | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | ST LOUIS |
| Zip Code | 63141 |
| Specialty | UROLOGY |
| City + Specialty | ST LOUIS + UROLOGY |
Please comment or provide details below to improve the information on Jacob Parke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.