Organization Active NPI

Robert G Parker DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1669771648
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0382 Issued in TX
Legal business name
ROBERT G PARKER DPM PC
Practice address
14441 Memorial Dr
Suite #16
Houston, TX 77079-6744
Phone
(281) 497-2850
Fax
(281) 531-7910
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Dr. Robert G. Parker, D.P.M.NPI 1740381771
Title
President
Phone
(281) 497-2850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0382 TX Primary

Addresses

Primary practice location

14441 Memorial Dr
Suite #16
Houston, TX 77079-6744

Mailing address

14441 Memorial Dr
Suite #16
Houston, TX 77079-6744
Phone (281) 497-2850

Other identifiers 1

IdentifierTypeStateIssuer
0382OtherTXTX STATE BOARD OF PODIATRIC MEDICAL EXAMINERS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000573 TX Part B Supplier - Clinic/Group Practice 3971623786 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

14441 Memorial Dr
Ste 16
Houston, TX 77079
Phone (281) 342-7870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1669771648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR",
            "address_2": "SUITE #16",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796744",
            "telephone_number": "281-497-2850",
            "fax_number": "281-531-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR",
            "address_2": "SUITE #16",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796744",
            "telephone_number": "281-497-2850",
            "fax_number": "281-531-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G PARKER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-497-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF PODIATRIC MEDICAL EXAMINERS LICENSE",
            "identifier": "0382",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.