Donald Ricky Parker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13199 Issued in MS

Practice address

1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749

Phone

(662) 840-2131

Fax

(662) 840-2522

NPI assigned

Jun 6, 2006

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: gerald_parker_md@yourcarecommunity.org

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1801835343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016749",
            "telephone_number": "662-840-2131",
            "fax_number": "662-840-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016749",
            "telephone_number": "662-840-2131",
            "fax_number": "662-840-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DONALD",
        "middle_name": "RICKY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Dental Group - Tupelo PLLC
• Shanti Parkash
• Anna Lauren Parker, M.S., CCC-SLP
• Bryan Parker
• Chad A Parker, DSW, LMSW, LPC
• Holley M Parker, CPNP-PC
• James Clayton Parker III, MD
• Kayla Christine Parker, OTR/L
• Lori Parker
• Jasmyne La'Trice Parks, SLP

• Internal Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.