Jose James Parker, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00759 Issued in OR

Practice address

2900 State St
Medford, OR 97504-8475

Phone

(541) 779-1672

Fax

(541) 779-0986

NPI assigned

May 10, 2006

Last updated

Aug 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southern Oregon Neurosurgical & Spine Associates, PC

  • Neurological Surgery Physician
  • Medford, OR
  • NPI 1912288671
  Medicare reassignment

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1457301731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048475",
            "telephone_number": "541-779-1672",
            "fax_number": "541-779-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048475",
            "telephone_number": "541-779-1672",
            "fax_number": "541-779-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JOSE",
        "middle_name": "JAMES",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Parcells
• Lindsey Rose Pariani
• Nomin Park, NP
• Shannon Elaine Park, LCSW
• Emily Parker
• Natalie Parker, LMT
• Ruthanne Parker
• Summer Parker, COTA
• Liisa Parker/Anderson
• Teresa Gayle Parkerson

• Surgical Physician Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.