Organization Active NPI

Parks Hospital Medicine LLC

  • Internal Medicine Physician
  • Opelousas, LA
National Provider Identifier
1407159635
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019463 Issued in LA
Legal business name
PARKS HOSPITAL MEDICINE LLC
Practice address
539 E Prudhomme St
Opelousas, LA 70570-6499
Phone
(337) 948-3011
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Kenneth Scott Parks, MD
Title
Owner
Phone
(337) 684-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 019463 LA Primary

Addresses

Primary practice location

539 E Prudhomme St
Opelousas, LA 70570-6499

Mailing address

174 Red Oak Rd
Ville Platte, LA 70586-1984

Other identifiers 1

IdentifierTypeStateIssuer
1397521MedicaidLA

National Provider Directory

National Provider Directory

Locations

174 Red Oak Rd
Ville Platte, LA 70586

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1407159635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 RED OAK RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705861984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-948-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS HOSPITAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-684-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.