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PARKER R FILLMORE MD NPI 1417155086


NPI Information

NPI: 1417155086
Provider Name: PARKER R FILLMORE, MD
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

Organization: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
999 N CURTIS ROAD
STE 415
BOISE, ID
ZIP 83704
Phone: (208) 367-7676
Get Directions

Parker R Fillmore, MD is a trauma surgery surgery in Boise, ID with 17 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Parker R Fillmore, MD NPI is 1417155086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

999 N CURTIS ROAD
STE 415
BOISE, ID
ZIP 83704-334
Phone: (208) 367-7676
Fax: (208) 367-5595

The NPI 1417155086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 6/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryM-13235IDAHONo
2208600000XSurgery44866ARIZONANo
32086S0127XSurgeryTrauma SurgeryD0075496MARYLANDNo
42086S0127XSurgeryTrauma SurgeryM-13235IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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