MICHELLE PARKER (NPI# 1093153645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093153645 |
| Entity Type | Individual |
| Full Name | MICHELLE PARKER |
| Credential | MD |
| Practice Address |
5414 S Broadway Ave Tyler TX 75703-1335 |
| Mailing Address |
Po Box 841656 Dallas TX 75284-1656 |
| Practice Telephone | 9035811601 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Q2480 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | BP10046115 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAIL ROAD MEDICARE | P01587389 | 01 |
| TX | MEDICARE | 861757 | 01 |
| TX | BCBS | 8FK760 | 01 |
| TX | BCBS | 8LH675 | 01 |
| TX | RAIL ROAD MEDICARE | P01584101 | 01 |
| TX | 345653510 | 05 | |
| TX | MEDICARE | 861895 | 01 |
| TX | 34563511 | 05 | |
| TX | BCBS | 8FK761 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194698 | Michelle Parker | Registered Nurse | 43500 Old Harbour Dr, Bermuda Dunes, CA 92203-1627 | 2015-05-28 |
| 1235417692 | Michelle Deangel Parker | Occupational Therapy Assistant | 3600 Dartmouth Rd, Hutchinson, KS 67502-2270 | 2011-08-02 |
| 1477844983 | Michelle Lynn Parker | Counselor | 224 S Woods Mill Rd Ste 550 South, Saint Louis, MO 63017-3451 | 2011-05-02 |
| 1932407467 | Michelle Parker | Pharmacist | 1326 Ward Blvd, Wilson, NC 27893-4665 | 2011-03-08 |
| 1558672287 | Michelle Wing-mun Parker | Pediatrics | 3333 Burnet Ave., Ml 2011, Children's Hospital Medical Center, Cincinnati, OH 45229-3039 | 2010-06-28 |
| 1134610090 | Michelle Adelaide Parker | Speech-Language Pathologist | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2018-05-25 |
| 1851833297 | Michelle C Parker | Social Worker | 312 E Market St Ste F, Leesburg, VA 20176 | 2016-11-16 |
| 1538526983 | Michelle Parker | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2016-01-15 |
| 1922464882 | Michelle Teresa Parker | Physical Therapist | 125 13th Ave W, West Fargo, ND 58078-2646 | 2016-01-07 |
| 1083083919 | Michelle D Parker | Occupational Therapist | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2015-09-22 |
| Street Address |
5414 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75703-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189836 | Joseph Pistone | Emergency Medicine | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2005-10-21 |
| 1013483361 | Jeremy Michael Troyer | Registered Nurse | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2018-10-15 |
| 1770020778 | Melinda Hill | Nurse Practitioner | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2017-01-27 |
| 1467829440 | Jessica Atkinson | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2015-08-26 |
| 1659768737 | Jennifer Crayton | Nurse Practitioner | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2015-04-16 |
| 1609282664 | Heidi C Lehnig | Nurse Practitioner | 5414 S Broadway Ave, Tyler, TX 75703 | 2014-07-10 |
| 1881997138 | Alma Delia Cadena | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2010-12-08 |
| 1699928655 | Kimeshia Nicole Johnson | Nurse Practitioner | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2008-11-03 |
| 1750547741 | Maria Stanovic Karlson | Nurse Practitioner | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2008-07-30 |
| 1750549358 | Wendy L Freden | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632553 | Christina Kay Baker | Family Medicine | 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 | 2020-02-21 |
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1396389870 | Shelly Lynn Williams | Family Medicine | 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 | 2019-10-29 |
| 1891354494 | Beverly Diann Butler | Family Medicine | 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 | 2019-06-07 |
| 1851846018 | Thomas Mason Worthington Jr. | Family Medicine | 9141 Chisholm Trl, Tyler, TX 75703-0409 | 2016-08-17 |
| 1881069557 | The Bradley Clinic of Texas, Pllc | Family Medicine | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 | 2015-12-07 |
| 1750764189 | Diabetic Renewal Center LLC | Family Medicine | 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 | 2015-07-02 |
| 1013306273 | Pure Radiance Laser Retreat | Family Medicine | 6722 S Broadway Ave, Tyler, TX 75703-4730 | 2015-01-12 |
| 1023412988 | James Kent Gray | Family Medicine | 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 | 2014-10-21 |
| 1346640182 | Morris Mht LLC | Family Medicine | 2030 Stonegate Blvd, Tyler, TX 75703-0103 | 2014-08-29 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.