Zackwrie S Parr, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000617 Issued in MO

Practice address

2002 Kanell Blvd
Suite 201
Poplar Bluff, MO 63901-4045

Phone

(573) 785-4959

Fax

(573) 785-6405

NPI assigned

Apr 19, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Health Care Management Services, LLC

  • Podiatric Clinic/Center
  • Poplar Bluff, MO
  • NPI 1306802632
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528023934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 HIGHWAY PP",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013967",
            "telephone_number": "573-778-0020",
            "fax_number": "573-778-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 KANELL BLVD",
            "address_2": "SUITE 201",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014045",
            "telephone_number": "573-785-4959",
            "fax_number": "573-785-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARR",
        "first_name": "ZACKWRIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302717715",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "188277",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costas Achilles Papanicolaou
• Julia Papanicolaou, RDH
• Amanda Gail Parker, CRNA
• Chelsea Rae Parkin
• Donna Lynn Parkinson, PH.D.
• Cathy Jo Parsells, D.O.
• Crystal Parson
• Patrick J Lecorps, MD, PC
• Ashlie Patty, LPN
• Carl F Patty, M.D.

• Foot & Ankle Surgery Podiatrist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.