Active NPI
Jules Gerard Parker, DPM
- Podiatrist
- Norfolk, VA
National Provider Identifier
1396789806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000907
- Practice address
- 930 Majestic Ave 140
Norfolk, VA 23504-4055 - Phone
- (757) 628-1597
- Fax
- (757) 628-8280
- NPI assigned
- Jun 15, 2006
- Last updated
- Sep 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000907 | VA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 0103000907 | VA |
Addresses
Primary practice location
930 Majestic Ave 140
Norfolk, VA 23504-4055
Mailing address
2040 Sunset Maple LN
Chesapeake, VA 23323-6359
Phone (757) 485-4811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9303693 | Medicaid | VA | |
| VAA100791 | Other | VA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100715000614 | VA | Practitioner - Podiatry | 6103958806 | Practice locations: Norfolk, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
930 Majestic Ave
Suite 140
Norfolk, VA 23504-4055
Phone (757) 628-1597
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000907 | VA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1396789806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 SUNSET MAPLE LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233236359",
"telephone_number": "757-485-4811",
"fax_number": "757-628-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MAJESTIC AVE 140",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235044055",
"telephone_number": "757-628-1597",
"fax_number": "757-628-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JULES",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103000907",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103000907",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9303693",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "VAA100791",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.