Provider Demographics
NPI:1134175805
Name:PARKER, GEORGE A (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 BREMO RD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1926
Mailing Address - Country:US
Mailing Address - Phone:804-285-3225
Mailing Address - Fax:804-285-0360
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:SUITE 506
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1926
Practice Address - Country:US
Practice Address - Phone:804-285-3225
Practice Address - Fax:804-285-0360
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010325602086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA020001270OtherSECURE HORIZONS
VA1700789OtherUNITED HEALTH CARE
VA204240OtherBC/BS
VAC06695OtherGROUP PTAN
VA541267736OtherCOMMERCIAL
VA586481OtherAETNA
VA020001270OtherOPTIMA MEDICARE
VA7308426OtherVA PREMIER
VA020001270OtherHUMANA GOLD
VA80664OtherSOUTHERN HEALTH
VA993OtherCARENET
VA341676OtherMAMSI,MDIPA,OPTIMUM CHOIC
VA45755OtherOPTIMA
VA7308159Medicaid
VA541267736OtherCIGNA
VACO301508Medicare PIN
VA020001270OtherOPTIMA MEDICARE
VA1700789OtherUNITED HEALTH CARE
VA204240OtherBC/BS
VA7308426OtherVA PREMIER
VA45755OtherOPTIMA