Individual provider Active NPI

Dallas Ellen Seidman Parker, PA-C

  • Physician Assistant
  • Oviedo, FL
National Provider Identifier
1356920227
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
92 E Mitchell Hammock Rd Ste 1006
Oviedo, FL 32765-9756
Phone
(321) 364-0022
NPI assigned
Apr 6, 2021
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

92 E Mitchell Hammock Rd Ste 1006
Oviedo, FL 32765-9756

Mailing address

92 E Mitchell Hammock Rd Ste 1006
Oviedo, FL 32765-9756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001998 FL Practitioner - Physician Assistant 0749678506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218

92 E Mitchell Hammock Rd
Suite 1006
Oviedo, FL 32765-9756
Phone (615) 373-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heathrow Internal Medicine LLC Past Accepting new patients
Trevecca Nazarene University PastSince Apr 1, 2021 Accepting new patients
MD Now Medical Centers Inc PastSince Jun 15, 2025 Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1356920227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E MITCHELL HAMMOCK RD STE 1006",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E MITCHELL HAMMOCK RD STE 1006",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659756",
            "telephone_number": "321-364-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DALLAS",
        "middle_name": "ELLEN SEIDMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.