Individual provider Active NPI

Jules Gerard Parker, DPM

  • Podiatrist
  • Norfolk, VA
National Provider Identifier
1396789806
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000907 Issued in VA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9303693MedicaidVA
VAA100791OtherVAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0103000907VAMDFoot 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

Verify at the official NPI Registry.