Parker Gene Estvold, M.D.
Individual provider Active NPI Family Medicine Physician · Atmore, AL
NPI 1992815435 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992815435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23316 (AL)
- Practice address
- 5811 Jack Springs Rd
Atmore, AL 36502-5025 - Phone
- (251) 368-8630
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23316 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23316 | AL | Yes |
Addresses
Primary practice location
5811 Jack Springs Rd
Atmore, AL 36502-5025
Mailing address
2300 Old Martin Rd
Baker, FL 32531-8518
Phone (251) 368-9136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23316 | Other | AL | STATE LICENSE |
| 37487 | Other | WA | STATE LICENSE |
| 631900009 | Medicaid | AL | |
| ME0033799 | Other | FL | STATE LICENSE |
Other providers in Atmore, AL
- Escambia County Health Dept-Atmore Pat 1St CM
- Escambia County Health Dept-Atmore Prev Health Ed
- Escambia County Health Dept-Atmore Pri Care
- Escambia County Health Dept-Atmore VFC Immun
- Escambia Drug Store Inc
- Express Healthcare Inc
- Franklin Primary Health Center, Inc
- Freds Stores of Tennessee Inc
- Megan Rochelle Friedli
- Gastroenterology Associates of Pensacola PA
All providers in Atmore, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.