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

Todd Parker, PA-C

Individual provider Medical Physician Assistant · NPI 1366417552

Todd Parker, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2000, 26 years ago. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5000
Fax: (314) 317-0606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2001007198 (MO)

Record details

NPI number1366417552
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESOctober 17, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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