Roy B Parke D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010822 Issued in MI

Legal business name

ROY B PARKE D.O.

Doing business as

Buchanan Family Medical Center

Practice address

1045 E Front St
Buchanan, MI 49107-8474

Phone

(269) 695-5540

Fax

(269) 695-0412

NPI assigned

Jan 22, 2007

Last updated

May 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Lee Ernsberger

Title

Office Manager

Phone

(269) 695-5540

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Buchanan Family Medical Center Doing business as

Practitioners 1

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.

• Nilgun Camilla Frengell, MD

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1497781660
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1275687147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E FRONT ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491078474",
            "telephone_number": "269-695-5540",
            "fax_number": "269-695-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E FRONT ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491078474",
            "telephone_number": "269-695-5540",
            "fax_number": "269-695-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY B PARKE D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "ERNSBERGER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-695-5540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER #",
            "identifier": "0A11219",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER #",
            "identifier": "0877052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0P30260006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER #",
            "identifier": "5113009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER #",
            "identifier": "5111155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0P302600003",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2575222",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER NUMBER",
            "identifier": "5111148",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy B Parke, D.O.
• Redbud Health Services LLC
• Respiratory Home Care & Convalescent Supply Inc
• Cheyenne Reyes, PTA
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04237)
• Arlene Mae Saliba El Habre, N.P.
• Sandra L Schneider, PH.D
• Angela M Scoggin, LMFT, MAPSY
• Susan Jayne Smith, PA
• Brenda Dani Smoke, O.D.

• Family Medicine Physician in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.