Active NPI
William Parker, MD
- Family Medicine Physician
- Ilion, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1471411
- Practice address
- 295 W. Main St.
Ilion, NY 13357 - Phone
- (315) 895-2300
- Fax
- (315) 624-5152
- NPI assigned
- Oct 2, 2006
- Last updated
- Jan 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1471411 | NY | Primary |
Addresses
Primary practice location
295 W. Main St.
Ilion, NY 13357
Mailing address
9811 Campbell Rd
Sauquoit, NY 13456-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01471411 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1471411 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Family Medicine | Current | Accepting new patients |
Locations
8112 State Route 12
Barneveld, NY 13304
Phone (315) 896-4111
201 E State St
Herkimer, NY 13350
Phone (315) 574-0026
295 W Main St
Ilion, NY 13357
Phone (315) 894-3132
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Interoperability endpoints
- wparker@hiemail.healtheconnections.org
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1477646149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 CAMPBELL RD",
"city": "SAUQUOIT",
"state": "NY",
"postal_code": "134563005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 W. MAIN ST.",
"city": "ILION",
"state": "NY",
"postal_code": "13357",
"telephone_number": "315-895-2300",
"fax_number": "315-624-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "1471411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01471411",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ilion, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.