Active NPI
Ian Parker, D.O.
- Plastic and Reconstructive Surgery Physician
- Gilbert, AZ
National Provider Identifier
1548375538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4176
- Practice address
- 5656 South Power Rd
Gilbert, AZ 85295 - Phone
- (480) 626-2482
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4176 | AZ | Primary |
Addresses
Primary practice location
5656 South Power Rd
Gilbert, AZ 85295
Mailing address
4340 E Indian School Rd
Ste 21-496
Phoenix, AZ 85018-5361
Phone (480) 626-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4176 | AZ | MD | Occupational Therapist |
Interoperability endpoints
- gehiparke@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Plastic and Reconstructive Surgery Physician
- Gilbert, AZ
- NPI 1427253566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1548375538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 E INDIAN SCHOOL RD",
"address_2": "STE 21-496",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185361",
"telephone_number": "480-626-2482",
"fax_number": "480-304-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 SOUTH POWER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85295",
"telephone_number": "480-626-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "IAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "4176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.