Active NPI
Charles D Parker, M.D.
- Family Medicine Physician
- Ratcliff, AR
National Provider Identifier
1568466274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-6866
- Practice address
- 9755 West State Hwy 22
Ratcliff, AR 72951 - Phone
- (479) 431-2050
- Fax
- (479) 431-2051
- NPI assigned
- Jun 9, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-6866 | AR | Primary |
Addresses
Primary practice location
9755 West State Hwy 22
Ratcliff, AR 72951
Mailing address
P.O Box 130
Ratcliff, AR 72951
Phone (479) 431-2050
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9233469001 | Other | CIGNA | |
| 080168244 | Other | RAILROAD MEDICARE | |
| 1632244 | Medicaid | LA | |
| 5334029 | Other | AETNA | |
| 17719000000 | Other | AR | QUALCHOICE |
| 03181099 | Medicaid | MS | |
| 100072090A | Medicaid | OK | |
| 111469001 | Medicaid | AR | |
| 50188 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 1970402 | Other | AR | UNITED HEALTHCARE |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1568466274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 130",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "72951",
"telephone_number": "479-431-2050",
"fax_number": "479-431-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 WEST STATE HWY 22",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "72951",
"telephone_number": "479-431-2050",
"fax_number": "479-431-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CHARLES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2023-03-07",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-6866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9233469001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080168244",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1632244",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5334029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "17719000000",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03181099",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100072090A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111469001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "50188",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1970402",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ratcliff, AR
- John Benjamin Jacobs, M.D.
- Charles Woodrow Jones Jr., M.D.
- Thomas Donovan Kiefer, DDS
- Glenda Marie King, APRN
- Jonathan James Larsen
- April Revis, APN
- River Valley Primary Care Services (RVPCS Community Pharmacy)
- River Valley Primary Care Services
- River Valley Primary Care Services Inc
- River Valley Primary Care Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.