IndividualActive
Jose Parra, MD
NPI 1821283193 · Sports Medicine (Family Medicine) Physician · Creve Coeur, MO
Provider details
- NPI number
- 1821283193
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 125-057368 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
522 N New Ballas Rd Ste 317
Creve Coeur, MO 63141-6840
Phone: (636) 534-0200
Fax: (636) 534-0211
Approximate (ZIP-level) locationGet directions
Mailing address
4135 Mexico Rd
Saint Peters, MO 63376-6410
Additional practice locations (1)
- 4135 Mexico RdSaint Peters, MO 63376-6410Phone: (636) 534-0200Fax: (636) 534-0211
Registry dates
- Enumerated
- 2007-09-10
- Last updated
- 2024-07-17
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.