Waylon Morris Parker, MD
Individual provider Active NPI General Practice Physician · Jackson, LA
NPI 1609914902 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1609914902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 016672 (LA)
- Practice address
- 5002 Highway 10
Villa Feliciana Medical Complex
Jackson, LA 70748 - Phone
- (225) 634-4079
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa Feliciana Medical Complex | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 016672 | LA | |
| General Practice Physician | 208D00000X | 016672 | LA | Yes |
Addresses
Primary practice location
5002 Highway 10
Villa Feliciana Medical Complex
Jackson, LA 70748
Mailing address
5635 Main Street
Suite a #222
Zachary, LA 70791
Phone (225) 634-4079
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- Gabriel I Onor Sr.
- Robert William Papcsy III
- Alan Ray Perego
- Wanda Lynn Pezant
- Primary Care Providers for a Healthy Feliciana, Inc.
- Joshua A Primeaux
- R.C.McDonald Co Inc
All providers in Jackson, LA · General Practice Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.