Individual provider Active NPI

Sylvia Vanna Parks, M.D.

  • Pediatrics Physician
  • Kettering, OH
National Provider Identifier
1760746192
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.124343 Issued in OH
Practice address
540 Lincoln Park Blvd Ste 390
Kettering, OH 45429-6408
Phone
(937) 296-1126
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.124343 OH Primary

Addresses

Primary practice location

540 Lincoln Park Blvd Ste 390
Kettering, OH 45429-6408

Mailing address

617 Shroyer Rd
Dayton, OH 45419-4055
Phone (937) 296-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.124343OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Dayton Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sylvia.parks.1@28600.direct.athenahealth.com
  • Direct secure messaging: sylvia.parks.1@17103.direct.athenahealth.com

Organizations & group practices 1

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1760746192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 SHROYER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194055",
            "telephone_number": "937-296-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LINCOLN PARK BLVD STE 390",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296408",
            "telephone_number": "937-296-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SYLVIA",
        "middle_name": "VANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.124343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.