Individual provider Active NPI

Paul James Parkey, M.D.

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1922003201
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D3362 Issued in TX
Practice address
1110 Scott Ave
Wichita Falls, TX 76301-4650
Phone
(940) 322-5544
Fax
(940) 322-5577
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D3362 TX Primary

Addresses

Primary practice location

1110 Scott Ave
Wichita Falls, TX 76301-4650

Mailing address

1110 Scott Ave
Wichita Falls, TX 76301-4650
Phone (940) 322-5544

Other practice location 1

809 Indiana Ave
Wichita Falls, TX 76301-6513
Phone (940) 322-5544

Other identifiers 1

IdentifierTypeStateIssuer
139818218MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D3362TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Parkey, Mdpa Family Medicine Past Accepting new patients
First Downtown Associates, Inc Family Medicine Past Accepting new patients

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1922003201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SCOTT AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014650",
            "telephone_number": "940-322-5544",
            "fax_number": "940-322-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SCOTT AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014650",
            "telephone_number": "940-322-5544",
            "fax_number": "940-322-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763016513",
            "country_code": "US",
            "telephone_number": "940-322-5544",
            "fax_number": "940-322-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKEY",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D3362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139818218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.