Ray Kohler Parker Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C7954 Issued in AR

Practice address

5 Medical Park Dr Ste 200
Benton, AR 72015-3732

Phone

(501) 776-3800

Fax

(501) 776-2209

NPI assigned

Sep 19, 2005

Last updated

Feb 13, 2024By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Arkansas College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.74 of 100Reported as individual

Quality

90.28

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prime Medical Group PLLC

  • Dermatology Physician
  • Little Rock, AR
  • NPI 1427605153
  Medicare reassignment Care Compare group NPD Authorized official
• Prime Medical Group PLLC

  • Dermatology Physician
  • Hot Springs, AR
  • NPI 1528667672
  Authorized official Same address or phone
• Prime Medical Group PLLC

  • Dermatology Physician
  • Pine Bluff, AR
  • NPI 1629677737
  Authorized official Same address or phone
• Prime Medical Group PLLC

  • Dermatology Physician
  • Benton, AR
  • NPI 1649879750
  Authorized official Same address or phone
• Prime Medical Group PLLC

  • Dermatology Physician
  • Conway, AR
  • NPI 1790384808
  Authorized official Same address or phone
• Prime Medical Group PLLC

  dba Dermatology Group of Arkansas PA

  • Dermatology Physician
  • Camden, AR
  • NPI 1790384899
  Authorized official Same address or phone
• Prime Medical Group PLLC

  • Dermatology Physician
  • Little Rock, AR
  • NPI 1942809058
  Authorized official Same address or phone
• Arkansas Dermatopathology PLLC

  • Dermatopathology (Pathology) Physician
  • Little Rock, AR
  • NPI 1760783526
  NPD

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1558356360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR.",
            "address_2": "SUITE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 200",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153732",
            "telephone_number": "501-776-3800",
            "fax_number": "501-776-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Baptist Health Dr",
            "address_2": "Suite 690",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056328",
            "country_code": "US",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RAY",
        "middle_name": "KOHLER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "C7954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132947001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Scott Parham
• Corey Paris
• Francheska Renee Parker
• Lila Allison Parker, RN
• Micah Parker, RECOVERY ASSISTANT
• Madeleine Parrish, LMSW
• Megan Lee Parsons, MS, SLP
• Lindsey Partain, RECOVERY ASSISTANT
• Patricia Partain, RECOVERY ASSISTANT
• Katie L. Pate, COTA

• Dermatology Physician in Benton, AR
• Providers in Benton, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.