Active NPI
Jeffrey F Parker, M.D.
- Internal Medicine Physician
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301029520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1759 | Other | MI | M'CARE |
| 700F314390 | Other | MI | BLUE SHIELD |
| 06340191 | Other | MI | BCBS INDIVIDUAL |
| 1689650889 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Family Medicine | Current | Accepting new patients |
| MMG 1PC | Internal Medicine | Past | Accepting new patients |
| MMG 1PC | Internal Medicine | Past | Accepting new patients |
| MMG 1 PC | Past | Accepting new patients | |
| MMG 1PC | Internal Medicine | Past | Accepting new patients |
| MMG 1PC | Past | 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
- 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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
Family Medicine
-
- Physical Medicine & Rehabilitation Physician
- Allen Park, MI
- NPI 1962571125
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Diagnostic Radiology Physician
- Farmington Hills, MI
- NPI 1285873430
-
- Neurology Physician
- Southfield, MI
- NPI 1184878001
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1215040506
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1215103940
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1881714723
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.