Provider Demographics
NPI:1295703072
Name:PARCINSKI, RICHARD E (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:PARCINSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4200 N CLOVERLEAF DR STE G
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6436
Mailing Address - Country:US
Mailing Address - Phone:636-936-1809
Mailing Address - Fax:636-936-3655
Practice Address - Street 1:4200 N CLOVERLEAF DR STE G
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6436
Practice Address - Country:US
Practice Address - Phone:636-936-1809
Practice Address - Fax:636-936-3655
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO100526207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO04-00378OtherUHC PRIMARY CARE #
MO290004262OtherRR MEDICARE
MO3476OtherBC/BS SPECIALTY #
MOPC 10813OtherCIGNA PROV #
MO174196OtherHEALTHLINK
MO247768500Medicaid
MO431682600633760000OtherCHAMPUS
MO037H1OtherBC/BS PROV ELECTRO NUMBER
MO48-00227OtherUHC SPECIALTY # (227)
MO349755800OtherDEPART OF LABOR
MOP-65294144OtherMULTI-PLAN PROV NUMBER
MO247768500Medicaid
MO037H1OtherBC/BS PROV ELECTRO NUMBER