Sandra L. Parks, M.D., LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

20911 Issued in NE

Legal business name

SANDRA L. PARKS, M.D., LLC

Practice address

1123 N 10TH St
Beatrice, NE 68310-2001

Phone

(402) 228-4295

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L ParksNPI 1679560700

Title

MD

Phone

(402) 228-4295

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra L Parks, MD

  • Family Medicine Physician
  • Beatrice, NE
  • NPI 1679560700
  NPD (past) Authorized official
• Richard A Blum, PA-C

  • Medical Physician Assistant
  • Beatrice, NE
  • NPI 1306968292
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1346793643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001",
            "telephone_number": "402-228-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. PARKS, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "402-228-4295",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NE",
            "license": "20911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Jay Saathoff, CPHT
• Leslie Salazar
• Allison Nicole Sand, MA, LIMHP, CPC, PLAD
• Melissa Ann Sand, M.A., LMHP
• Steven P Sandman, O.D.
• Kenneth Sapp, BS/RPH
• Justin Schardt, DPT
• Juliana Scheideler, LMT
• Amanda D Scheiding, PA-C
• Mary Jane Scherling, APRN

• Preferred Provider Organization in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Preferred Provider Organization in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.