Parker Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36577 Issued in AZ

Legal business name

PARKER FAMILY PRACTICE PLLC

Practice address

1713 S Kofa Ave
Suite a
Parker, AZ 85344-6477

Phone

(928) 669-9700

Fax

(928) 669-7104

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Ronald D Parker, MD

Title

Provider/Owner

Phone

(928) 669-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1487880712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S KOFA AVE",
            "address_2": "SUITE A",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446477",
            "telephone_number": "928-669-9700",
            "fax_number": "928-669-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S KOFA AVE",
            "address_2": "SUITE A",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446477",
            "telephone_number": "928-669-9700",
            "fax_number": "928-669-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "928-669-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Allen Palmquist, DPM
• Parker Community Senior Center
• Parker Dental Center LLC
• Parker Emergency Services LLC
• Parker Family Dental
• Parker Indain Healthcare Center
• Parker Indian Health Center
• Parker Indian Health Service
• Parker Medical Center, LTD
• Parker Medical Center, LTD.

• Family Medicine Physician in Parker, AZ
• Providers in Parker, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.