Individual provider Active NPI

Joseph Abraham Parks, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wausau, WI
National Provider Identifier
1639580574
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
77066-21 Issued in WI
Practice address
3200 Westhill Dr Ste 102
Wausau, WI 54401-4706
Phone
(715) 847-2019
Fax
(715) 847-2668
NPI assigned
May 14, 2014
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 77066-21 WI Primary
Aerospace Medicine Physician 2083A0100X 1396 NE
Interventional Pain Medicine Physician 208VP0014X 77066-21 NE

Addresses

Primary practice location

3200 Westhill Dr Ste 102
Wausau, WI 54401-4706

Mailing address

825 N 90TH St
Omaha, NE 68114-2702
Phone (402) 391-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240723001526 NE Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5597093153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Pain Clinic PCGroup PAC ID 5597834291, 9 clinicians

Practice addresses (Care Compare)

825 N 90TH St
Omaha, NE 68114-2702
Phone 4023917246138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
77066-21WIMDPain Medicine (Physical Medicine & Rehabilitation) Physician
77066-21NEMDInterventional Pain Medicine Physician
1396NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Pain Clinic PC Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Midwest Anesthesia P.C. Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

2900 E Elk Ln
Fremont, NE 68025
Phone (402) 721-8895

2900 E Elk Ln
Ste 1
Fremont, NE 68025
Phone (402) 620-6650

825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246

8814 Maple St
Ste 1
Omaha, NE 68134
Phone (402) 620-6650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1639580574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142702",
            "telephone_number": "402-391-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 102",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014706",
            "telephone_number": "715-847-2019",
            "fax_number": "715-847-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JOSEPH",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WI",
            "license": "77066-21",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "1396",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "77066-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.