NPIMap

Individual provider Active NPI

Wesley A. Parker, M.D.

  • Family Medicine Physician
  • Cherokee, IA
National Provider Identifier
1790780476
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26274 Issued in IA
Practice address
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone
(712) 225-6265
Fax
(712) 225-6800
NPI assigned
Jun 17, 2005
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26274 IA Primary

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 1

IdentifierTypeStateIssuer
1284190MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000461 IA Practitioner - Family PracticePractitioner - Geriatric PsychiatryPractitioner - Geriatric Medicine 6103891924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26274IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Valley Memorial Hospital Association Family Medicine CurrentSince Jul 1, 1998 Accepting new patients
Sioux Valley Memorial Hospital Association CurrentSince Jul 1, 1998 Accepting new patients
Sioux Valley Memorial Hospital Association Past Accepting new patients

Locations

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

300 Sioux Valley Dr
Ste Crc
Cherokee, IA 51012

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherokee Regional HospiceCherokee, IA, CCN 161537 Hospice W-2 Managing Employee Jun 20, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1790780476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121205",
            "telephone_number": "712-225-6265",
            "fax_number": "712-225-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIOUX VALLEY DR",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121205",
            "telephone_number": "712-225-6265",
            "fax_number": "712-225-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WESLEY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1284190",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

Verify at the official NPI Registry.