Parkinson Dermatology SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

36649020 Issued in WI

Legal business name

PARKINSON DERMATOLOGY SC

Practice address

114 Timberlane Rd
Spooner, WI 54801-9687

Phone

(715) 635-3766

Fax

(715) 635-3711

NPI assigned

Nov 22, 2006

Last updated

Aug 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine E Parkinson, MDNPI 1518997162

Title

President

Phone

(715) 635-3766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine E Parkinson, M.D.

  • Specialist
  • Spooner, WI
  • NPI 1518997162
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1114092368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TIMBERLANE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548019687",
            "telephone_number": "715-635-3766",
            "fax_number": "715-635-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TIMBERLANE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548019687",
            "telephone_number": "715-635-3766",
            "fax_number": "715-635-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINSON DERMATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-635-3766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "36649020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32487000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E Nelson, MD
• Paul E Niemuth, PT,DSC,OCS,SCS,ATC
• Diane K Noe, PT
• Northwest Passage - Northwest Passage II
• Kathleen Ann Olsen
• Katherine E Parkinson, M.D.
• Fallon Peplinski, DO
• Nicole Elizabeth Perkins, NP
• Jackie Ann Perro, LCSW
• Andrew Thomas Persons, PTA

• Dermatology Physician in Spooner, WI
• Providers in Spooner, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.