Individual provider Active NPI

Thornwell Hay Parker III, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1689738619
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M4907 Issued in TX
Practice address
8230 Walnut Hill LN Ste 808
Suite 808
Dallas, TX 75231-4469
Phone
(214) 696-8828
Fax
(214) 696-1444
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X M4907 TX
Plastic and Reconstructive Surgery Physician 2086S0122X M4907 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 808
Suite 808
Dallas, TX 75231-4469

Mailing address

8230 Walnut Hill LN Ste 808
Suite 808
Dallas, TX 75231-4469
Phone (214) 696-8828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070626000630 TX Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 2163521568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thornwell H Parker III M D P aGroup PAC ID 4284733692, 4 clinicians

Practice addresses (Care Compare)

8230 Walnut Hill LN
Suite 808
Dallas, TX 75231-4469
Phone (214) 696-8828

Merit-based Incentive Payment System (MIPS)

Final score
66.57 of 100Reported as individual
Quality
78.56
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision513
Removal of tissue45
Removal of skin lesions976
Removal of skin cancer1319
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy1254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4907TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thornwell H Parker III M D P a Mohs-Micrographic Surgery CurrentSince Jul 1, 2006 Accepting new patients
Dallas Surgi Center, Inc. CurrentSince Jul 1, 2007 Accepting new patients

Locations

8230 Walnut Hill Ln
Ste 808
Dallas, TX 75231
Phone (214) 274-8205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1689738619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 808",
            "address_2": "SUITE 808",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-696-8828",
            "fax_number": "214-696-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 808",
            "address_2": "SUITE 808",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-696-8828",
            "fax_number": "214-696-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "THORNWELL",
        "middle_name": "HAY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M4907",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M4907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.