FREDERICK BLLACKMON PARKER JR. (NPI# 1124337100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124337100 |
| Entity Type | Individual |
| Full Name | FREDERICK BLLACKMON PARKER JR. |
| Credential | MD |
| Practice Address |
310 Dewittshire Rd S De Witt NY 13214-2212 |
| Practice Telephone | 3154468495 |
| Mailing Telephone | 3154468495 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 092662 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194147470 | Frederick Parker | Physician Assistant | 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 | 2014-01-06 |
| 1083772339 | Frederick William Parker | Dentist | 2106 Fallston Rd, Fallston, MD 21047-1442 | 2006-12-05 |
| 1437124807 | Frederick Lawrence Parker | Internal Medicine | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2006-02-21 |
| 1922008291 | Frederick W Parker IIi | Family Medicine | 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 | 2005-07-28 |
| Street Address |
310 DEWITTSHIRE RD S |
| City | DE WITT |
| State | NY |
| Zip Code | 13214-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986925 | Arthur Robert Dresdale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 E 83rd St Apt 10b, New York, NY 10028-6265 | 2020-09-13 |
| 1366078677 | Philippe H Lemaitre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 Fort Washington Ave Ste 336, New York, NY 10032-3729 | 2020-03-18 |
| 1932734324 | Ismail El-hamamsy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mount Sinai Hospital (cardiovascular Surgery), 1190 5th Avenue, Gp 2w, New York, NY 10029 | 2020-03-06 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1386162287 | Chest Thoracic Surgery of Ny | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 326 Trumbull Rd, Manhasset, NY 11030-2117 | 2017-08-31 |
| 1598281131 | Suguru Ohira | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Woods Rd # Macy114w, Valhalla, NY 10595-1530 | 2017-08-15 |
| 1215303441 | Suffolk Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23 Pheasant Ln, East Setauket, NY 11733-2634 | 2015-08-11 |
| 1962895680 | Usa Professional Medical Services of New York LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5920 Myrtle Ave, Ridgewood, NY 11385-5658 | 2015-03-05 |
| 1902297468 | Suffolk Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21 Vantage Ct, Port Jefferson, NY 11777-2242 | 2015-02-05 |
| 1720410756 | Luis E Cortes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 E 84th St, New York, NY 10028-7301 | 2013-08-01 |
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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.