Dave Parker Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102201854 Issued in VA

Legal business name

DAVE PARKER INC

Practice address

1224 Greer Ave
Marion, VA 24354-4306

Phone

(276) 920-7242

NPI assigned

Jun 22, 2011

Last updated

Jun 22, 2011By 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

David G Parker, DONPI 1255370003

Title

Owner

Phone

(276) 962-7242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Dave Parker Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Parker Family Medicine, P.C.

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1770752099
  NPD tax ID

Locations

Practitioners 4

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.

• David Glenn Parker, MD

  • Family Medicine Physician
  • Marion, VA
  • NPI 1255370003
  Medicare reassignment NPD Authorized official
• Dayle H Zanzinger, NP

  • Family Nurse Practitioner
  • Marion, VA
  • NPI 1235142928
  Medicare reassignment
• Cindy J Parker, MD

  • Obstetrics & Gynecology Physician
  • Marion, VA
  • NPI 1689611360
  NPD (past)
• Lois Marie Brandon, FNP

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1629148747
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1114213766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GREER AVE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544306",
            "telephone_number": "276-920-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GREER AVE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544306",
            "telephone_number": "276-920-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE PARKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-962-7242",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant Obstetrics and Gynecology PC
• Jonathan Gentry Crisp, MD
• Meredith Ashley Oldham Cullop, NP
• Mary Elizabeth Curtiss, M.D.
• Victoria E D'Alessandro
• Brandi Letitica Davis, CMT
• Michelle Guy Debord, LCSW
• Ginger Rose Deel
• Antonio Delarosa, CRNA
• Marina Elena Delpizzo, PA

• Family Medicine Physician in Marion, VA
• Providers in Marion, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.