Active NPI
Parker Professional Services Group LLC
- Hospitalist Physician
- Parker, AZ
National Provider Identifier
1417308230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PARKER PROFESSIONAL SERVICES GROUP LLC
- Practice address
- 1200 W Mohave Rd
Parker, AZ 85344-6349 - Phone
- (928) 669-9201
- Fax
- (928) 669-7490
- NPI assigned
- Jun 22, 2016
- Last updated
- Jun 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Willie
- Title
- Chief Financial Officer
- Phone
- (928) 336-7015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
1200 W Mohave Rd
Parker, AZ 85344-6349
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
National Provider Directory
National Provider DirectoryLocations
8765 W Kelton Ln
#B1110
Peoria, AZ 85382
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Indiantown, FL
- NPI 1437128675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466553600000",
"number": "1417308230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MOHAVE RD",
"city": "PARKER",
"state": "AZ",
"postal_code": "853446349",
"telephone_number": "928-669-9201",
"fax_number": "928-669-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER PROFESSIONAL SERVICES GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A",
"authorized_official_last_name": "WILLIE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "928-336-7015"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.