The Parker Skin & Aesthetic Clinin

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

16492-NP Issued in OH

Legal business name

THE PARKER SKIN & AESTHETIC CLININ

Practice address

3733 Park East Dr
Suite 104
Beachwood, OH 44122-4338

Phone

(216) 464-7333

Fax

(216) 464-2696

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Parker, M.D.NPI 1912937079

Title

President

Phone

(216) 464-7333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia U Parker, M.D.

  • Dermatology Physician
  • Beachwood, OH
  • NPI 1912937079
  NPD Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1972904860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-464-7333",
            "fax_number": "216-464-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR",
            "address_2": "SUITE 104",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "216-464-7333",
            "fax_number": "216-464-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARKER SKIN & AESTHETIC CLININ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-464-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "16492-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Houston Dental Group Inc
• The Kensington Therapy Group, LLC
• The Metamorphosis Group, LTD
• The Metrohealth System (MetroHealth Beachwood Pharmacy)
• The Miller Center
• Theodicies Support LLC
• Therapy Specialists Inc
• Johnathan Paul Thies, PT,DPT
• Ashlee Thiessen
• Jalyssa Thirion

• Adult Health Nurse Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.