| Evolution MD, LLC | |
|
4127 Mexico Rd Saint Peters MO 63376-6410 | |
| (636) 534-0200 | |
| (636) 534-0211 |
| Full Name | Evolution MD, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4127 Mexico Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | Jose Marino Parra (OWNER) |
| Authorized Official Contact | 6365340200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution MD, LLC Po Box 37002 Saint Louis MO 63141-1502 | Evolution MD, LLC 4127 Mexico Rd Saint Peters MO 63376-6410 Ph: (636) 534-0200 |
| NPI Number | 1699425314 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 08/05/2026 |
| Certification Date | 08/05/2026 |
| Medicare PECOS PAC ID | 6800282104 |
|---|---|
| Medicare Enrollment ID | O20220414001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699425314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jose M Parra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821283193 PECOS PAC ID: 9931267804 Enrollment ID: I20100206000211 |
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Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Jungermann Rd, Saint Peters, MO 63376 Phone: 636-441-3322 Fax: 636-441-4302 |
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Practice Management Affiliates Consulting Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Heritage Lndg, Suite 215, Saint Peters, MO 63303 Phone: 636-939-4200 Fax: 636-939-4204 |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8075 Mexico Rd, Saint Peters, MO 63376 Phone: 573-234-5258 |
Morningstar Neuropathy & Pain Treatment Center LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4710 Mexico Rd, Saint Peters, MO 63376 Phone: 636-244-0124 Fax: 618-876-7850 |