DR. JACK DUNCAN PARKS (NPI# 1922219666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922219666 |
Entity Type | Individual |
Full Name | DR. JACK DUNCAN PARKS |
Credential | MD |
Practice Address |
722 Locust St Suite 2 Big Rapids MI 49307 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 2315924200 |
Practice Fax Number | 2315276859 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2018-07-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
4301082476 | MI | Allopathic & Osteopathic Physicians |
Street Address |
722 LOCUST ST SUITE 2 |
City | BIG RAPIDS |
State | MI |
Zip Code | 49307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922070408 | Marcie L Stieg-williams | Physician Assistant | 722 Locust St, Big Rapids, MI 49307 | 2006-02-07 |
1003209255 | Mecosta County Medical Center | Nurse Practitioner | 722 Locust St, Big Rapids, MI 49307-2040 | 2015-03-12 |
1891109591 | Mecosta County Medical Center | Clinic/Center | 722 Locust St, Ste 2, Big Rapids, MI 49307-2040 | 2014-06-20 |
1891075479 | Mecosta County Medical Center | Obstetrics & Gynecology | 722 Locust St, Big Rapids, MI 49307-2040 | 2011-08-26 |
1629288386 | Sara Ann Schugars | Obstetrics & Gynecology | 722 Locust St, Ste 2, Big Rapids, MI 49307-2040 | 2007-05-23 |
1932171410 | Gail A Desnoyers | Obstetrics & Gynecology | 722 Locust St, Big Rapids, MI 49307 | 2006-02-07 |
1740252246 | Frederick C Guenther | Obstetrics & Gynecology | 722 Locust St, Big Rapids, MI 49307 | 2006-02-07 |
1427020908 | Kathryn L Anason | Obstetrics & Gynecology | 722 Locust St, Suite 2, Big Rapids, MI 49307-2040 | 2006-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467099150 | Jayne Ann Graham | Custodial Care Facility | 831 Rose Avenue, Big Rapids, MI 49307 | 2019-12-02 |
1457904369 | Shannon Lynn Barstow | Registered Nurse | 20661 Okemos Rd, Big Rapids, MI 49307 | 2019-07-19 |
1235637604 | Kendra Lee Dolorfino | Nurse Practitioner | 650 Linden St Ste 4, Big Rapids, MI 49307 | 2018-01-31 |
1326553959 | Hope Primary and Urgent Care of Big Rapids Pllc | Clinic/Center | 201 Linden Street, Big Rapids, MI 49307 | 2017-12-05 |
1740539824 | Brandee Lee Gard | Community Health Worker | 745 Water Tower Rd., Big Rapids, MI 49307 | 2012-09-05 |
1497071641 | Kathleen Johnson | Adult Companion | 208 Maple St., Apt. 208, Big Rapids, MI 49307 | 2010-04-13 |
1144466822 | Big Rapids Dental Health Care Associates, PC | Dentist | 201 S. Michigan Ave, Big Rapids, MI 49307 | 2008-12-30 |
1134379894 | Fred Rodriguez | Hearing Instrument Specialist | 13452 Northland Drive, Big Rapids, MI 49307 | 2008-09-30 |
1740447275 | Catholic Charities West Michig | Community/Behavioral Health | 212 1/2 Maple Street, Big Rapids, MI 49307 | 2008-05-21 |
1144353905 | Robert R Scharp Dds PC | Dentist | 126 Maple St, Big Rapids, MI 49307 | 2007-03-13 |
Find all providers in zip 49307 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184260754 | Kelly Jo Aguilera | Obstetrics & Gynecology | 3985 E Brooks Rd, Freeland, MI 48623-9436 | 2019-11-19 |
1598089542 | Mansion Street Womens Health Pllc | Obstetrics & Gynecology | 215 E Mansion St., Suite 3d, Marshall, MI 49068 | 2010-03-19 |
1285888347 | Shalom Mazaki-tovi | Obstetrics & Gynecology | 5858 Fineway Ct, West Bloomfield, MI 48322-1383 | 2008-11-15 |
1407051410 | Jane J Jawahir Md PC | Obstetrics & Gynecology | 3181 Prairie St Sw Ste 112, Grandville, MI 49418-2076 | 2007-06-19 |
1831300219 | Urological Solutions of Michigan, Plc | Obstetrics & Gynecology | 7110 Stadium Drive, Kalamazoo, MI 49009-9423 | 2007-05-25 |
1134339518 | Karen Lynn Plymel | Obstetrics & Gynecology | 25080 Michigan, Dearborn, MI 48124-1740 | 2007-05-23 |
1063622454 | Anupama Vansadia | Obstetrics & Gynecology | 6700 N Rochester Rd Ste 210, Rochester Hills, MI 48306-4378 | 2007-05-23 |
1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
1326257148 | Medical Resource Group | Obstetrics & Gynecology | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2007-05-21 |
1649394347 | Birth Control Center | Obstetrics & Gynecology | 2783 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2007-03-19 |
Find all providers with the same taxonomy |
City | BIG RAPIDS |
Zip Code | 49307 |
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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.