Patricia A Parker, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

560100407 Issued in MI

Practice address

710 S Lincoln Rd
Escanaba, MI 49829-1292

Phone

(906) 786-4628

Fax

(906) 789-4410

NPI assigned

Sep 13, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1902891369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26374 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731263",
            "telephone_number": "906-786-4628",
            "fax_number": "906-789-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291292",
            "telephone_number": "906-786-4628",
            "fax_number": "906-789-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "560100407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970001253",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3966350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Ostrander, PTA
• Tonja Oswald
• Renee Mary Ouradnik, LLP- LIMITED LICENSE
• Steven Ross Ouwinga, D.D.S.
• Barbara J Paltzer, LMSW
• Mitchell L Parmet, DO
• Pathways Community Mental Heatlh
• Patrick W Bozarth
• Patricia Pattan Oneal, LLBSW
• Paul R Gayeff OD PC

• Physician Assistant in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.