MR. ROBERT ALLEN PARKS (NPI# 1255402384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255402384 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ALLEN PARKS |
| Credential | PA |
| Practice Address |
6300 22 Mile Rd Ste 2 Shelby Twp MI 48317-2106 |
| Mailing Address |
298 Ann St Plymouth MI 48170-1216 |
| Practice Telephone | 5867269860 |
| Practice Fax Number | 5867269537 |
| Mailing Telephone | 2488852937 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002251 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316192412 | Robert Earl Parks | Dentist | 3302 Renner Drive, Fortuna, CA 95540-3120 | 2008-11-18 |
| 1750356671 | Robert J Parks | Chiropractor | 6415 1st Ave S, St Petersburg, FL 33707-1301 | 2006-02-22 |
| 1093870545 | Robert Craig Parks | Optometrist | 130 Almshouse Rd, Suite 403, Richboro, PA 18954-1100 | 2006-12-26 |
| 1336162445 | Robert Parks | Podiatrist | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-07-26 |
| 1356380497 | Robert Parks | Internal Medicine | 201 Bailey Ln, Benton, IL 62812-1969 | 2006-06-05 |
| 1932152147 | Robert Joseph Parks | Optometrist | 75 Lambert Lind Hwy, Suite 110, Warwick, RI 02886 | 2006-05-18 |
| 1770581332 | Robert Edward Albert Parks | Emergency Medicine | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2005-07-08 |
| 1801891916 | Robert R Parks | Otolaryngology | 3680 Hill Blvd, Care Mount Medical, PC, Jefferson Valley, NY 10535-1500 | 2005-06-15 |
| 1598760878 | Robert Parks Jr. | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | 2005-06-14 |
| Street Address |
6300 22 MILE RD STE 2 |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48317-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093212078 | Deanna Rose Sarosy | Physician Assistant | 47260 Warwick Ct, Shelby Twp, MI 48315-4673 | 2018-04-06 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1275760639 | Kimberly Elizabeth Wysocki | Physician Assistant | 52349 Forest Grv, Shelby Twp, MI 48315-2316 | 2009-06-12 |
| 1669634390 | Amanda A Thomas | Physician Assistant | 48681 Hayes Rd, Shelby Twp, MI 48315-4403 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TWP |
| Zip Code | 48317 |
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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.