Individual provider Active NPI

Michael S Parker, MD

  • Obstetrics & Gynecology Physician
  • Gahanna, OH
National Provider Identifier
1881633360
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35062634 Issued in OH
Practice address
1080 Beecher Xing N
Gahanna, OH 43230-4557
Phone
(614) 476-4101
Fax
(614) 476-5303
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35062634 OH Primary

Addresses

Primary practice location

1080 Beecher Xing N
Gahanna, OH 43230-4557

Mailing address

1080 Beecher Xing N
Gahanna, OH 43230-4557
Phone (614) 476-4101

Other identifiers 2

IdentifierTypeStateIssuer
0930560MedicaidOH
0745856OtherOHMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000974 OH Practitioner - Obstetrics/Gynecology 1153225636 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062634OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Aug 22, 2023 Accepting new patients
Mount Carmel Health System Obstetrics & Gynecology CurrentSince Aug 22, 2023 Accepting new patients
Maternohio Clinical Associates LLC CurrentSince Oct 1, 2005 Accepting new patients
Mount Carmel Health System Past Accepting new patients
Medcentral Health System Past Accepting new patients
Mount Carmel Health System Past Accepting new patients
Columbus Metropolitan OB. GYN, Inc PastSince Nov 15, 2004 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

1080 Beecher Xing N
Gahanna, OH 43230
Phone (614) 476-4101

5300 N Meadows Dr
Ste 4800
Grove City, OH 43123
Phone (614) 663-4550

5300 N Meadows Dr
Ste 1900
Grove City, OH 43123
Phone (614) 663-2450

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26020/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1881633360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304557",
            "telephone_number": "614-476-4101",
            "fax_number": "614-476-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304557",
            "telephone_number": "614-476-4101",
            "fax_number": "614-476-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35062634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930560",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0745856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.