Individual provider Active NPI

L Joseph Parker, M.D.

  • General Practice Physician
  • Texarkana, AR
National Provider Identifier
1174566574
Registry record updated Sep 26, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Apr 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E1887 Issued in AR
Practice address
502 E 24TH St
Texarkana, AR 71854-3646
Phone
(870) 826-7500
Fax
(870) 826-7500
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-1887 AR
General Practice Physician 208D00000X E1887 AR Primary

Addresses

Primary practice location

502 E 24TH St
Texarkana, AR 71854-3646

Mailing address

820 S Main St
Hope, AR 71801-6523
Phone (870) 777-8733

Other identifiers 3

IdentifierTypeStateIssuer
135783001MedicaidAR
92-1989OtherARSBMIC INSURANCE
0387634OtherARCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1887ARMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Primary Care General Practice Current Accepting new patients
Numedics LTD PastSince Jun 13, 2016 Accepting new patients
Pike County Memorial Hospital Past Accepting new patients
Emergency Staffing Solutions Northeast Inc Emergency Medicine Past Accepting new patients
Genesis Emergency Medicine Services LLC Emergency Medicine Past Accepting new patients
Pike County Memorial Hospital General Practice Past Accepting new patients
Med Sources, LTD. General Practice Past Accepting new patients

Locations

2617 E Main St
Charleston, AR 72933
Phone (479) 965-8888

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1174566574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718016523",
            "telephone_number": "870-777-8733",
            "fax_number": "870-495-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 24TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543646",
            "telephone_number": "870-826-7500",
            "fax_number": "870-826-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "L",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-1887",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135783001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SBMIC INSURANCE",
            "identifier": "92-1989",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0387634",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.