Provider Demographics
NPI:1396885745
Name:PARKER, DONNA F (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:F
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:
Mailing Address - City:BARCLAY
Mailing Address - State:MD
Mailing Address - Zip Code:21607-0079
Mailing Address - Country:US
Mailing Address - Phone:410-212-3058
Mailing Address - Fax:
Practice Address - Street 1:11868 ACADEMIC OVAL
Practice Address - Street 2:UNIVERSITY OF MARYLAND EASTERN SHORE HH # 1042
Practice Address - City:PRINCESS ANNE
Practice Address - State:MD
Practice Address - Zip Code:21853-1295
Practice Address - Country:US
Practice Address - Phone:410-651-8452
Practice Address - Fax:410-651-7586
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0029749208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD339071300Medicaid
MD339071300Medicaid