Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Stephen Bolesta, MD

Individual provider Anatomic Pathology Physician · NPI 1366456840

Edward Stephen Bolesta, MD is a Pathology in St. Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 1984, 42 years ago. Practices with Parkway Pathology Group Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
42
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1402 S Grand
St. Louis, MO 63104
Phone: (314) 577-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 36579 (MO)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 36579 (MO)
Forensic Pathology Physician Taxonomy 207ZF0201X · Licence 36579 (MO)

Record details

NPI number1366456840
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Parkway Pathology Group Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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