NPIMap

Organization Active NPI

E Richard Parker M D P a

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1336326099
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D6123 Issued in TX
Legal business name
E RICHARD PARKER M D P A
Practice address
4220 Bull Creek Rd
Austin, TX 78731-6026
Phone
(512) 617-7500
Fax
(512) 323-9382
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
E Richard Parker, M D
Title
Owner
Phone
(512) 617-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X D6123 TX Primary

Addresses

Primary practice location

4220 Bull Creek Rd
Austin, TX 78731-6026

Mailing address

4220 Bull Creek Rd
Austin, TX 78731-6026
Phone (512) 617-7500

Other identifiers 1

IdentifierTypeStateIssuer
00012RAOtherTXBC GROUP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1336326099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026",
            "telephone_number": "512-617-7500",
            "fax_number": "512-323-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026",
            "telephone_number": "512-617-7500",
            "fax_number": "512-323-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E RICHARD PARKER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-617-7500",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "D6123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "00012RA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.