Individual provider Active NPI

Jeffrey F Parker, M.D.

  • Internal Medicine Physician
  • Eureka, CA
National Provider Identifier
1689650889
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301029520 Issued in MI
Practice address
3200 Walford Ave Ste a
Eureka, CA 95503-4828
Phone
(707) 443-3354
Fax
(707) 443-3356
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C50777 CA
Internal Medicine Physician 207R00000X 4301029520 MI Primary

Addresses

Primary practice location

3200 Walford Ave Ste a
Eureka, CA 95503-4828

Mailing address

29877 Telegraph Rd
Suite 401
Southfield, MI 48034-1332
Phone (248) 354-0730

Other practice location 1

3200 Walford Ave Ste A
Eureka, CA 95503-4828
Phone (707) 443-3354

Other identifiers 4

IdentifierTypeStateIssuer
C1759OtherMIM'CARE
700F314390OtherMIBLUE SHIELD
06340191OtherMIBCBS INDIVIDUAL
1689650889MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20031212000798 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7214834860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Sports and Occupational Medicine PCGroup PAC ID 5395646665, 3 clinicians
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

15636 Southfield Rd
Allen Park, MI 48101-2513
Phone (313) 353-0700

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0730

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
MMG 1PC Internal Medicine PastSince Jan 1, 1990 Accepting new patients
MMG 1PC Internal Medicine PastSince Jan 1, 1990 Accepting new patients
MMG 1 PC PastSince Jan 1, 1990 Accepting new patients
MMG 1PC Internal Medicine PastSince Jan 1, 1990 Accepting new patients
MMG 1PC PastSince Jan 1, 1990 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

29877 Telegraph Rd
Ste 401
Southfield, MI 48034
Phone (248) 354-0730

29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730

Interoperability endpoints

  • Direct secure messaging: jparker1143881@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1689650889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 401",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-354-0730",
            "fax_number": "248-354-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-443-3354",
            "fax_number": "707-443-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Walford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955034828",
            "country_code": "US",
            "telephone_number": "707-443-3354",
            "fax_number": "707-443-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JEFFREY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C50777",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301029520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE",
            "identifier": "C1759",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F314390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "06340191",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689650889",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.