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MICHELLE PARKER MD NPI 1093153645


NPI Information

NPI: 1093153645
Provider Name: MICHELLE PARKER, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5414 S BROADWAY AVE
TYLER, TX
ZIP 75703
Phone: (903) 581-1601
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Michelle Parker, MD is an emergency medicine in Tyler, TX with 11 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Michelle Parker, MD NPI is 1093153645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

5414 S BROADWAY AVE
TYLER, TX
ZIP 75703-335
Phone: (903) 581-1601

The NPI 1093153645 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 6/5/2013 and was last updated on 12/28/2023.


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
1207Q00000XFamily MedicineBP10046115TEXASNo
2207Q00000XFamily MedicineQ2480TEXASNo
3207P00000XEmergency MedicineQ2480TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01584101OTHERTEXASRAIL ROAD MEDICARE
2P01587389OTHERTEXASRAIL ROAD MEDICARE
3861895OTHERTEXASMEDICARE
48FK761OTHERTEXASBCBS
534563511MEDICAIDTEXAS
6861757OTHERTEXASMEDICARE
78FK760OTHERTEXASBCBS
8345653510MEDICAIDTEXAS
98LH675OTHERTEXASBCBS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.