RAVEN PARKE PA-C NPI 1114545928

NPI Information

NPI: 1114545928
Provider Name: RAVEN PARKE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4035 ELECTRIC RD STE A
ROANOKE, VA
ZIP 24018
Phone: (540) 772-8670
Get Directions

Raven Parke, PA-C is a medical physician assistant in Roanoke, VA with 4 years of experience. Raven Parke, PA-C NPI is 1114545928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4035 ELECTRIC RD STE A
ROANOKE, VA
ZIP 24018-449
Phone: (540) 772-8670

The NPI 1114545928 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 7/8/2020 and was last updated on 12/15/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	00000000	VIRGINIA	No
2	363A00000X	Physician Assistant		0000000	VIRGINIA	No
3	363AM0700X	Physician Assistant	Medical	0110-007699	VIRGINIA	Yes

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

NPI Synchronization or Removal

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