Organization Active NPI

Thornwell H Parker III M D P a

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1215138599
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M4907 Issued in TX
Legal business name
THORNWELL H PARKER III M D P A
Doing business as
Thornwell H. Parker, III, M.D., P.A.
Practice address
8230 Walnut Hill LN Ste 808
Dallas, TX 75231-4469
Phone
(214) 696-8828
Fax
(214) 696-1444
NPI assigned
May 31, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Thornwell Hay Parker III, M.D.NPI 1689738619
Title
President
Phone
(214) 696-8828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X M4907 TX
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X M4907 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 808
Dallas, TX 75231-4469

Mailing address

8230 Walnut Hill LN Ste 808
Dallas, TX 75231-4469
Phone (214) 696-8828

Other names 1

  • Thornwell H. Parker, III, M.D., P.A. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000706 TX Part B Supplier - Clinic/Group Practice 4284733692 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

8230 Walnut Hill Ln
Ste 808
Dallas, TX 75231
Phone (214) 274-8205

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215138599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 808",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-696-8828",
            "fax_number": "214-696-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 808",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-696-8828",
            "fax_number": "214-696-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNWELL H PARKER III M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "THORNWELL",
        "authorized_official_middle_name": "HAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-696-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M4907",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M4907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornwell H. Parker, III, M.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.