DR. JEFFREY DEAN PARKS (NPI# 1336134360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134360 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DEAN PARKS |
| Credential | MD |
| Practice Address |
400 Lakebridge Plaza Dr Ormond Beach FL 32174-5157 |
| Practice Telephone | 3866779044 |
| Practice Fax Number | 3866773083 |
| Mailing Telephone | 3866779044 |
| Mailing Fax Number | 3866773083 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME67417 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME67417 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750400701 | Jeffrey Parks | Social Worker | 38 Pond St, Suite 101, Franklin, MA 02038-3807 | 2007-03-29 |
| 1689745937 | Jeffrey Parks | Anesthesiology | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-11-10 |
| 1215044367 | Jeffrey D Parks | Family Medicine | 405 Rushing Drive, Herrin, IL 62948-3730 | 2006-08-24 |
| 1023045069 | Jeffrey C Parks | Physical Therapist | 880 A1a N, Ste 18a, Ponte Vedra Beach, FL 32082-3220 | 2006-06-26 |
| 1043254485 | Jeffrey D. Parks | Psychiatry & Neurology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2006-06-16 |
| 1992757959 | Jeffrey C Parks | Surgery | 6770 Mayfield Rd, Suite 320, Mayfield Hts, OH 44124-2299 | 2006-05-17 |
| Street Address |
400 LAKEBRIDGE PLAZA DR |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912466 | Michael James Suah | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-09-13 |
| 1265887152 | Courtney Nicole Bernett | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2016-04-27 |
| 1841540283 | Rachel Leigh Derwick | Nurse Practitioner | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2012-09-13 |
| 1942434964 | Lindsay Mach | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2009-05-05 |
| 1730375700 | Michelle Whiddon Foley | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-09-24 |
| 1346462181 | John Christopher Coppola | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-05-02 |
| 1598879017 | Rebekah Elisabeth Doyle | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2006-08-19 |
| 1154318137 | Meg Pierce | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-10-04 |
| 1629063680 | Parks Dermatology Center LLC | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-09-15 |
| 1871588830 | Heather Crawford | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351043 | John Charles Long Jr. | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2006-08-08 |
| 1114912466 | Michael James Suah | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2005-09-13 |
| 1265887152 | Courtney Nicole Bernett | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2016-04-27 |
| 1952630170 | Atlantic Medical Partners, Pl | Dermatology | 1265 W Granada Blvd, Suite 3, Ormond Beach, FL 32174-8111 | 2009-12-17 |
| 1942434964 | Lindsay Mach | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2009-05-05 |
| 1730375700 | Michelle Whiddon Foley | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-09-24 |
| 1861687071 | Associated Dermatologist Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-09-11 |
| 1801003496 | Long Dermatology Pa | Dermatology | 155 N Nova Rd, Ormond Beach, FL 32174-5138 | 2007-05-16 |
| 1346462181 | John Christopher Coppola | Dermatology | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 2007-05-02 |
| 1790805729 | Reena Sachdev | Dermatology | 305 Clyde Morris Blvd, Suite 150, Ormond Beach, FL 32174 | 2007-03-31 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.