Individual provider Active NPI

James M. Parks, P.A.

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1891945457
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10579 Issued in LA
Practice address
2200 Park Bend Dr.
BLDG 2, Ste. 202
Austin, TX 78758-5388
Phone
(512) 836-0900
Fax
(512) 836-0902
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.A10579 LA Primary

Addresses

Primary practice location

2200 Park Bend Dr.
BLDG 2, Ste. 202
Austin, TX 78758-5388

Mailing address

2200 Park Bend Dr
BLDG 2, Ste 202
Austin, TX 78758-5388
Phone (512) 836-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000055 TX Practitioner - Physician Assistant 8628039609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.A10579LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roland J. Degeyter MD Apmc PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/imed.degeyter

Organizations & group practices 2

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1891945457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2, STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585388",
            "telephone_number": "512-836-0900",
            "fax_number": "512-836-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR.",
            "address_2": "BLDG 2, STE. 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585388",
            "telephone_number": "512-836-0900",
            "fax_number": "512-836-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.