Wesley A. Parker, M.D.
Individual provider Active NPI Family Medicine Physician · Cherokee, IA
NPI 1790780476 · NPPES record last updated Dec 4, 2009
Key facts
- NPI
- 1790780476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 26274 (IA)
- Practice address
- 300 Sioux Valley Dr
Cherokee, IA 51012-1205 - Phone
- (712) 225-6265
- Fax
- (712) 225-6800
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sioux Valley Memorial Hospital Association
Sports Rehab and Professional Therapy Associates Inc
Practice addresses (Care Compare)
225 Main St
Aurelia, IA 51005-7791
Phone (712) 434-2101
300 E Pine St
Cherokee Regional Clinic Marcus
Marcus, IA 51035-7196
Phone (712) 376-4600
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
Hospital & facility affiliations
- Cherokee Regional Home Health
- Cherokee Regional Hospice
- Cherokee Regional Medical Center
- Good Samaritan - Holstein
- Careage Hills Rehabilitation and Healthcare
- Accura Healthcare of Cherokee, LLC
- Accura Healthcare of Aurelia, LLC
- Cherokee Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Cherokee Regional Hospice |
Hospice | W-2 Managing Employee | Jun 20, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000461 | IA | Practitioner - Family Practice |
6103891924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26274 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux Valley Memorial Hospital Association | Current |
Accepting new patients | |
| Sioux Valley Memorial Hospital Association | Family Medicine | Current |
Accepting new patients |
| Sioux Valley Memorial Hospital Association | Past | Accepting new patients |
Locations
300 Sioux Valley Dr
Ste Crc
Cherokee, IA 51012
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26274 | IA | Yes |
Addresses
Primary practice location
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Mailing address
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1284190 | Medicaid | IA |
Other providers in Cherokee, IA
- Kayla Lynn Moretz
- Jackie Lynn Mortenson
- Charles E Murphy
- Austin Neumann
- Brooke Elizabeth Nielsen
- Pathways Centers for Emotional Well-Being, PLC
- Patricia J Harrison M D P C
- Emily Peterson
- Anthony Puffett
- Taryn A Reichter
All providers in Cherokee, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.