Active NPI
Parker Family Clinic PLLC
- Family Nurse Practitioner
- Muskogee, OK
National Provider Identifier
1669910063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PARKER FAMILY CLINIC PLLC
- Practice address
- 3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957 - Phone
- (918) 441-1365
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gay L Parker
- Title
- Owner
- Phone
- (918) 441-1365
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957
Mailing address
3300 Chandler Rd
Ste 105
Muskogee, OK 74403-4957
Phone (918) 441-1365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170316001471 | OK | Part B Supplier - Clinic/Group Practice | 1850676719 |
Receives reassigned benefits from 1 practitioner Practice locations: Muskogee, OK |
National Provider Directory
National Provider DirectoryLocations
1143 N Main St
Muskogee, OK 74401
Phone (918) 681-3333
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": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1669910063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CHANDLER RD",
"address_2": "STE 105",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744034957",
"telephone_number": "918-441-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CHANDLER RD",
"address_2": "STE 105",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744034957",
"telephone_number": "918-441-1365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER FAMILY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "GAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-441-1365"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.