Russell Alan Parker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DOS685 Issued in HI

Practice address

64-1032 Mamalahoa Hwy Ste 306
Kamuela, HI 96743-8441

Phone

(719) 237-0590

Fax

(808) 829-3604

NPI assigned

Jan 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

Nova Southeastern College of Osteo Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duerler IncGroup PAC ID 2062680861, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• HI PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duerler, Inc.

  dba Mango Medical

  • Family Medicine Physician
  • Kamuela, HI
  • NPI 1376837997
  Medicare reassignment Care Compare group NPD
• Latitude 19 Medical Inc.

  • Clinic/Center
  • Kailua Kona, HI
  • NPI 1669841458
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023167947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "STE 306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "719-237-0590",
            "fax_number": "808-829-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY STE 306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "719-237-0590",
            "fax_number": "808-829-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Larimer Parkway",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "80534",
            "country_code": "US",
            "telephone_number": "970-669-8881",
            "fax_number": "970-669-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RUSSELL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS685",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "HI",
            "license": "DOS685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P. Joseph Sulla III, MFT, Csac
• Dara Pagaduan, FNP-C
• Paniolo Country Pediatrics LLC
• Paniolo Pediatric and Family Medicine Inc
• Paniolo Pediatrics LLC
• Peter a. in, M.D., Inc. (Waimea Community Counseling Clinic)
• Sharon Ann Petrosky, LMHC
• Mark A. Pithan, M.D.
• Shaden Powell, M.ED
• Dodi Pritchett, BCBA, LBA

• Family Medicine Physician in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.