Active NPI
Glenn M Parker, M.D.
- General Practice Physician
- Plantation, FL
National Provider Identifier
1356611727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME67261
- Practice address
- 1700 N University Dr
Plantation, FL 33322-4107 - Phone
- (954) 939-3290
- Fax
- (954) 939-3288
- NPI assigned
- Jan 3, 2012
- Last updated
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME67261 | FL | Primary |
Addresses
Primary practice location
1700 N University Dr
Plantation, FL 33322-4107
Mailing address
1700 N University Dr
Plantation, FL 33322-4107
Phone (954) 939-3290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME67261 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationshearing Ipa LLC | Current | Accepting new patients | |
| Nationsmarket, LLC | Current | Accepting new patients | |
| Nationsbenefits, LLC | Current | Accepting new patients | |
| Sussman & Staller MD PA | Past | Accepting new patients |
Locations
1700 N University Dr
Plantation, FL 33322
Phone (877) 439-2665
1801 NW 66th Ave
Ste 100
Plantation, FL 33313
Phone (954) 939-3292
8050 SW 10th St
Ste 4200
Plantation, FL 33324
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
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- NPI 1205466166
-
- Meals Provider
- Plantation, FL
- NPI 1346966264
-
- Registered Dietitian
- Plantation, FL
- NPI 1669290797
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689733693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1356611727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N UNIVERSITY DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333224107",
"telephone_number": "954-939-3290",
"fax_number": "954-939-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N UNIVERSITY DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333224107",
"telephone_number": "954-939-3290",
"fax_number": "954-939-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "GLENN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME67261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.