Edward Henry Parker

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13679 Issued in CA

Practice address

4715 Valley East Blvd
Suite 3
Arcata, CA 95521-3584

Phone

(707) 822-3376

Fax

(707) 822-5053

NPI assigned

Mar 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hank Parker Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• North Pacific Dermatology a Medical Corporation

  • Dermatology Physician
  • McKinleyville, CA
  • NPI 1548489602
  Medicare reassignment Care Compare group
• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  Medicare reassignment
• Open Door Community Health Centers

  dba Open Door Downtown

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1831713452
  NPD
• Open Door Community Health Centers

  dba Perinatal Services of NorthCountry Clinic

  • Federally Qualified Health Center (FQHC)
  • Arcata, CA
  • NPI 1922318047
  NPD

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

• American Hospital Management Corporation

  dba Mad River Community Hospital

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1235370156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-8335",
            "fax_number": "707-464-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 VALLEY EAST BLVD",
            "address_2": "SUITE 3",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955213584",
            "telephone_number": "707-822-3376",
            "fax_number": "707-822-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "EDWARD",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANK",
            "last_name": "PARKER",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susana Padilla
• Alison Marie Palacios, D.O.
• Paliwal Diagnostic Imaging
• Gregory Scott Parish, DDS
• Roderick Park
• Michael Parker
• Christie Parr
• Taryan Nicole Parvis, LMFT
• Lisa L Patterson
• Thomas Paulson

• Physician Assistant in Arcata, CA
• Providers in Arcata, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.