Parker Medical Associates PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34880 Issued in AZ

Legal business name

PARKER MEDICAL ASSOCIATES PC

Practice address

6820 E Brown Rd
Mesa, AZ 85207-3705

Phone

(480) 924-9797

Fax

(480) 924-8508

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Clevis T. Parker Sr., M.D.

Title

Owner Physician

Phone

(480) 924-9797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1255361606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073705",
            "telephone_number": "480-924-9797",
            "fax_number": "480-924-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073705",
            "telephone_number": "480-924-9797",
            "fax_number": "480-924-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CLEVIS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "480-924-9797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eun Soo Park
• Janie Park, RNFA
• Jimin Park, LAC
• Jiyea Park
• Yeon Hee Park, L.AC.
• Alana Parker
• Christina Parker
• Connie Rae Parker
• Heidi Anne Parker, FNP-BC
• Kurt Parker

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.