Walter Douglas Parkhurst, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11347 Issued in TN

Practice address

4980 Alpha LN
Hixson, TN 37343-5470

Phone

(423) 870-2450

Fax

(423) 877-5208

NPI assigned

Feb 14, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057
  Medicare reassignment NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1265406763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-308-0280",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-870-2450",
            "fax_number": "423-877-5208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5864 Highway 153 Ste 112",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435187",
            "country_code": "US",
            "telephone_number": "423-497-5359",
            "fax_number": "423-877-5208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 Walnut Grove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216104",
            "country_code": "US",
            "telephone_number": "423-775-6668",
            "fax_number": "423-775-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Gunbarrel Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213291",
            "country_code": "US",
            "telephone_number": "423-899-2904",
            "fax_number": "423-892-5058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9309 Apison Pike",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373634340",
            "country_code": "US",
            "telephone_number": "423-551-3562",
            "fax_number": "423-551-3563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Gunbarrel Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213192",
            "country_code": "US",
            "telephone_number": "423-497-5359",
            "fax_number": "423-877-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "WALTER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "11347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020159",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Blair Padalino, DPT
• Pamela H. Johnson, LCSW, PC
• Katelin McCall Pannell, MD
• Breanne Parker, PHARMD
• Christina Rebecca Parkhurst, MEDICAL DOCTOR
• Parkridge Medical Associates LLC
• Linda M Pate, M.D.
• Chirag Patel
• Himanshu Ashokkumar Patel, PHARM.D
• Kevin Suresh Patel, PHARMD

• Internal Medicine Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.