George Robert Parker II, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00501 Issued in TX

Practice address

717 W Park Dr
Keller, TX 76248-2511

Phone

(817) 733-9968

NPI assigned

Aug 7, 2013

Last updated

Aug 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parker Surgical Partners, LLC

  • Women's Health Nurse Practitioner
  • Keller, TX
  • NPI 1013369024

  Surgical Assistant

  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1528490901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W PARK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482511",
            "telephone_number": "817-733-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W PARK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482511",
            "telephone_number": "817-733-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045YL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pancho Independent Pharmacy Inc (Creekwood Pharmacy)
• Brittney Lynn Papenthien, PHARM.D.
• Jennifer M Pappalardo, M.A, LMFT
• Parker Surgical Partners, LLC
• Bryant Parker
• Jared Glenn Parker, D.C.
• Parkhill Chiropractic & Wellness Center P.C
• David Wade Parkhill, DC
• Jennifer Parma, RN
• Aum Nitin Patel, O.D.

• Surgical Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.