DR. JOHNNY DAN PARKER (NPI# 1952394751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952394751 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY DAN PARKER |
| Credential | D.P.M. |
| Practice Address |
8601 S Cottage Grove Ave Chicago IL 60619-6107 |
| Practice Telephone | 7737837599 |
| Practice Fax Number | 7737837698 |
| Mailing Telephone | 7737837599 |
| Mailing Fax Number | 7737837698 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 60001157 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831442268 | Johnny L Parker | Specialist | 4234 9th Avenue Cir S, Fargo, ND 58103-2090 | 2012-10-23 |
| Street Address |
8601 S COTTAGE GROVE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144566704 | Lorna V Walters Dpm LLC | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2012-12-28 |
| 1871587691 | Lorna V Walters | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1932285509 | Moeed Ekbal | Podiatrist | 2400 N Lakeview Ave Apt 2703, Chicago, IL 60614-2741 | 2006-10-27 |
| 1487677076 | David T Hong | Podiatrist | 180 W Washington St, Suite 930, Chicago, IL 60602-3580 | 2006-07-25 |
| 1669478640 | Andrew Benedict O'keefe Jr. | Podiatrist | 6374 N Lincoln Ave, Ste 314, Chicago, IL 60659-1275 | 2005-06-23 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1497152516 | My Doctor P C | Podiatrist | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | 2014-12-04 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1194062661 | Dr. Kaye Lagdaan, P.C. | Podiatrist | 4112 N Lincoln Ave, Chicago, IL 60618-3028 | 2013-01-03 |
| 1205194156 | Ross Wayne Green | Podiatrist | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2012-04-29 |
| Find all providers in CHICAGO | ||||
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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.