Individual provider Active NPI

Molly B Parker, M.D.

  • Family Medicine Physician
  • Port Townsend, WA
National Provider Identifier
1124224225
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045354 Issued in WA
Practice address
915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Phone
(360) 379-8031
Fax
(360) 385-0418
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00045354 WA Primary

Addresses

Primary practice location

915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931

Mailing address

915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Phone (360) 379-8031

Other identifiers 4

IdentifierTypeStateIssuer
0237088OtherWADEPARTMENT OF LABOR AND INDUSTRIES
8947695OtherWAL&I CRIME VICTIMS
5829PAOtherWAREGENCE
8486953MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070802000197 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8729179940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 Sheridan St
Suite 101
Port Townsend, WA 98368-2901
Phone (360) 385-3500

915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 379-8031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 16, 2011 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 16, 2011 Accepting new patients

Locations

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

915 Sheridan St
Port Townsend, WA 98368
Phone (360) 379-8031

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

915 Sheridan St
Ste B103
Port Townsend, WA 98368
Phone (360) 379-8031

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1124224225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SHERIDAN ST",
            "address_2": "SUITE B103",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682931",
            "telephone_number": "360-379-8031",
            "fax_number": "360-385-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SHERIDAN ST",
            "address_2": "SUITE B103",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682931",
            "telephone_number": "360-379-8031",
            "fax_number": "360-385-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MOLLY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "0237088",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "8947695",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5829PA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8486953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.