Active NPI
L Joseph Parker, M.D.
- General Practice Physician
- Texarkana, AR
National Provider Identifier
1174566574
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.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E1887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135783001 | Medicaid | AR | |
| 92-1989 | Other | AR | SBMIC INSURANCE |
| 0387634 | Other | AR | CIGNA |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1887 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Primary Care | General Practice | Current | Accepting new patients |
| Numedics LTD | Past | 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.
-
- General Practice Physician
- Booneville, AR
- NPI 1598186009
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1083865521
-
- Family Medicine Physician
- Nashville, AR
- NPI 1609286889
-
- General Practice Physician
- Murfreesboro, AR
- NPI 1114072857
-
- General Acute Care Hospital
- Murfreesboro, AR
- NPI 1518117449
-
- Emergency Medicine Physician
- Atoka, OK
- NPI 1669425682
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.