Individual provider Active NPI

William Barto Parks, MD

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1285797274
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G1303 Issued in TX
Practice address
9250 Pinecroft Dr
Adm.
The Woodlands, TX 77380-3218
Phone
(281) 364-2587
Fax
(281) 364-5875
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G1303 TX Primary

Addresses

Primary practice location

9250 Pinecroft Dr
Adm.
The Woodlands, TX 77380-3218

Mailing address

9250 Pinecroft Dr
Adm.
The Woodlands, TX 77380-3218
Phone (281) 364-2587

Other identifiers 1

IdentifierTypeStateIssuer
G1303OtherTXTX STATE MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wparks1658145@oc.providencedirect.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618002543 CA Practitioner - Pediatric Medicine 8022430156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G1303TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2280 Harrison Ave
Ste B
Eureka, CA 95501
Phone (707) 443-9371

3200 Walford Ave
Eureka, CA 95503
Phone (707) 445-3443

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: wparks1658145@oc.providencedirect.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1285797274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "address_2": "ADM.",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "281-364-2587",
            "fax_number": "281-364-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "address_2": "ADM.",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "281-364-2587",
            "fax_number": "281-364-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "WILLIAM",
        "middle_name": "BARTO",
        "name_prefix": "Prof.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G1303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE MEDICAL LICENSE",
            "identifier": "G1303",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wparks1658145@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Walford Ave",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.