Andrea Shannon Parker, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD14355 Issued in RI

Practice address

220 Bellevue Ave
Newport, RI 02840-3515

Phone

(401) 849-0410

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NHCC Medical Associates, Inc.

  • Internal Medicine Physician
  • Newport, RI
  • NPI 1598762304
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1700048790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 3RD ST",
            "address_2": "APT 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062727",
            "telephone_number": "317-417-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403515",
            "telephone_number": "401-849-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANDREA",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11014450A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD14355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom C Pagonis, D.D.S., M.S.
• Katlyn M Palka
• Megan Carly Palombo
• Dianne D Pannes, DDS
• Alessandro Papa, M.D.
• Jasma Patel, DMD
• Marc Eugene Patrick, PA
• Danielle Alicia Patton
• Katelyn Ruth Pearson
• Tripler Pell, MD, CCFP, FCFP, MSC

• Surgery Physician in Newport, RI
• Providers in Newport, RI by specialty
• Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.