Organization Active NPI

Parkins Plastic Surgery

  • Surgery Physician
  • Oconomowoc, WI
National Provider Identifier
1780269449
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PARKINS PLASTIC SURGERY
Practice address
685 E Valley Rd
Oconomowoc, WI 53066-4766
Phone
(414) 704-2155
Fax
(262) 205-1463
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. David G Parkins, M.D.NPI 1942397096
Title
Physician Owner
Phone
(414) 704-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

685 E Valley Rd
Oconomowoc, WI 53066-4766

Mailing address

685 E Valley Rd
Oconomowoc, WI 53066-4766
Phone (414) 704-2155

National Provider Directory

National Provider Directory

Locations

685 E Valley Rd
Oconomowoc, WI 53066
Phone (414) 704-2155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1780269449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 E VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664766",
            "telephone_number": "414-704-2155",
            "fax_number": "262-205-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664766",
            "telephone_number": "414-704-2155",
            "fax_number": "262-205-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "PARKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "414-704-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.