Active NPI
Daniel J Parker, M.D.
- Diagnostic Radiology Physician
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5530543-1205
- Practice address
- 1400 N. 500 E.
Logan, UT 84341 - Phone
- (435) 716-1000
- Fax
- (801) 951-2389
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5530543-1205 | UT | Primary |
Addresses
Primary practice location
1400 N. 500 E.
Logan, UT 84341
Mailing address
PO Box 1108
Bountiful, UT 84011
Phone (801) 296-2113
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119840800 | Medicaid | WY | |
| 806894900 | Medicaid | ID | |
| D5562 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Utah School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
- Bear River Valley Hospital
- Nell J Redfield Memorial Hospital
- Cache Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5530543-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Lake Pointe Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1972744357
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
-
- Diagnostic Radiology Physician
- Rowlett, TX
- NPI 1437114188
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
-
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1952703472
-
- Critical Access Hospital
- Malad, ID
- NPI 1609826270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1164516878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84011",
"telephone_number": "801-296-2113",
"fax_number": "801-296-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N. 500 E.",
"city": "LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-716-1000",
"fax_number": "801-951-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "5530543-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119840800",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806894900",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5562",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.