Provider Demographics
NPI:1649246695
Name:PARKER, JOHN PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:844 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-261-0700
Mailing Address - Fax:757-261-0701
Practice Address - Street 1:844 KEMPSVILLE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-261-0700
Practice Address - Fax:757-261-0701
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101030974207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA15383OtherOPTIMA HEALTH PLAN
VA-001OtherTRICARE/CHAMPUS
NC06382OtherBC/BS NC
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VA006030394Medicaid
VA15792OtherSENTARA OHP/SHP
NC8906382Medicaid
VAPAROtherUSA MANAGED CARE
VA072677OtherATHEM BC/BS VA/HK
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCIGNA
VAPAROtherAETNA
VA006057331Medicaid
VA249493OtherMAMSI
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherMULTIPLAN
VA050276OtherANTHEM BC/BS
VA060035242OtherRAILROAD MEDICARE
VA263654OtherUHC/MAMSI/MDIPA
VA15792OtherSENTARA OHP/SHP
VAPAROtherVIRGINIA PREMIER HEALTH
VA060019286Medicare PIN
VA050276OtherANTHEM BC/BS
VA072677OtherATHEM BC/BS VA/HK