Parke Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARKE CLINIC, PC

Practice address

819 S 3Rd St
Clinton, IN 47842-2205

Phone

(765) 832-2464

Fax

(765) 832-1638

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

J. Franklin Swaim, M.D.

Title

President

Phone

(765) 832-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1497760144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478420266",
            "telephone_number": "765-832-2464",
            "fax_number": "765-832-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S 3RD ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422205",
            "telephone_number": "765-832-2464",
            "fax_number": "765-832-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "SWAIM",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-832-9301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Glen Miller
• Natalie Moreno-Crow, LCSW
• Tammy Lea Mundy, FNP
• Lacie Jo Nickle, CNA
• Kasi Oxendine, LCSW
• Emily J Payne, FNP
• Jana Piantedosi, LCSW
• Amber Denise Pitts, NP
• Paula R Price, RN
• Emily Jo Proctor

• All providers in Clinton, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.