Active NPI
Andrew Parker, DO
- Family Medicine Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0077298
- Practice address
- 1301 E 7TH St
Pueblo, CO 81001-3508 - Phone
- (719) 543-8711
- Fax
- (719) 543-0171
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0077298 | CO | Primary |
Addresses
Primary practice location
1301 E 7TH St
Pueblo, CO 81001-3508
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 543-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, Inc
Practice addresses (Care Compare)
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4569
Phone (270) 691-8070
Hospital & facility affiliations
- Owensboro Health Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06165 | KY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
811 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1228
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Sports Medicine (Family Medicine) Physician
- Owensboro, KY
- NPI 1679164255
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1104511278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-543-8711",
"fax_number": "719-543-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E 7TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810013508",
"telephone_number": "719-543-8711",
"fax_number": "719-543-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0077298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.