NPIMap

Individual provider Active NPI

Richard W Parkinson, M.D.

  • Procedural Dermatology Physician
  • Provo, UT
National Provider Identifier
1891801346
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
158613-1205 Issued in UT
Practice address
5314 N 250 W
Suite 220
Provo, UT 84604-5691
Phone
(801) 225-8484
Fax
(801) 225-6170
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 158613-8905 UT
Procedural Dermatology Physician 207NS0135X 158613-1205 UT Primary

Addresses

Primary practice location

5314 N 250 W
Suite 220
Provo, UT 84604-5691

Mailing address

5314 N 250 W
Suite 220
Provo, UT 84604-5691
Phone (801) 225-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20041109000701 UT Practitioner - Dermatology 4284697723 Receives reassigned benefits from 9 practitioners
Practice locations: Provo, UT

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5314 N 250 W
Suite 220
Provo, UT 84604-7746
Phone (801) 225-8484

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision285
Removal of tissue1-10
Removal of skin lesions4842
Removal or shaving of skin growth125
Skin biopsy1165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158613-8905UTMDDermatopathology Physician
158613-1205UTMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard W. Parkinson Dermatopathology PastSince Nov 18, 1975 Accepting new patients
Richard W. Parkinson PastSince Nov 18, 1975 Accepting new patients
Riverwoods Dermatology Inc Dermatology Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1891801346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 N 250 W",
            "address_2": "SUITE 220",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045691",
            "telephone_number": "801-225-8484",
            "fax_number": "801-225-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 N 250 W",
            "address_2": "SUITE 220",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045691",
            "telephone_number": "801-225-8484",
            "fax_number": "801-225-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "UT",
            "license": "158613-8905",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "158613-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.