J. William Parke, MD – Family Medicine Physician

Key facts

NPI: 1326089392
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: MD021078E (PA)
Practice address: 2 College Ave
Mountville, PA 17554-1546
Phone: (717) 285-3144
NPI assigned: Jun 9, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD021078E	PA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Frederick Health Hospital Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	MD021078E	PA	Yes

Addresses

Primary practice location

2 College Ave
Mountville, PA 17554-1546

Mailing address

2 College Ave
Mountville, PA 17554-1546
Phone (717) 285-3144

Other identifiers

Identifier	Type	State	Issuer
000723578	Medicaid	PA

Other providers in Mountville, PA

All providers in Mountville, PA · Family Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.