Individual provider Active NPI

Jeffery E Parker, M.D.

  • Surgery Physician
  • Portsmouth, OH
National Provider Identifier
1942299565
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35094012 Issued in OH
Practice address
1711 27TH St Ste 402
Portsmouth, OH 45662-2669
Phone
(740) 356-3562
Fax
(740) 355-6938
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 44265 KY
Surgery Physician 208600000X 22573 WV
Surgery Physician 208600000X MD072108 PA
Surgery Physician 208600000X 35094012 OH Primary

Addresses

Primary practice location

1711 27TH St Ste 402
Portsmouth, OH 45662-2669

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-6942

Other identifiers 4

IdentifierTypeStateIssuer
2780861MedicaidOH
3810009490MedicaidWV
7100039460MedicaidKY
P00407338OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffery.parker@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000038 OH Practitioner - General Surgery 6002908977 Reassigns benefits to 1 organization
I20130114000487 KY Practitioner - General Surgery 6002908977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

1000 Ashland Dr
Suite 103
Ashland, KY 41101-7092
Phone (606) 324-0097

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1711 27TH St
Portsmouth, OH 45662-2669

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

207 Plummers LN
Vanceburg, KY 41179-7683
Phone (606) 796-0010

246 Commonwealth Rd
Vanceburg, KY 41179-5003
Phone (606) 796-0010

835 W Emmitt Ave
Waverly, OH 45690-1190
Phone (740) 947-7662

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072108PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Surgery CurrentSince Aug 10, 2009 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Aug 10, 2009 Accepting new patients

Locations

1000 Ashland Dr
Ste 103
Ashland, KY 41101
Phone (606) 324-0097

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

246 Commonwealth Rd
Vanceburg, KY 41179
Phone (606) 796-0010

1735 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 353-7881

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

727 8th St
Portsmouth, OH 45662
Phone (740) 254-8631

1711 27th St
Ste 402
Portsmouth, OH 45662
Phone (740) 356-3562

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

835 W Emmitt Ave
Waverly, OH 45690
Phone (740) 356-5944

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.

Hospital & facility affiliations 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1942299565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-6942",
            "fax_number": "740-356-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST STE 402",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622669",
            "telephone_number": "740-356-3562",
            "fax_number": "740-355-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JEFFERY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "44265",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "22573",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD072108",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35094012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2780861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009490",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100039460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00407338",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffery.parker@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1711 27th St Ste 402",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.