DR. TIMOTHY L PARKER (NPI# 1487659959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487659959 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY L PARKER |
| Credential | MD |
| Practice Address |
6901 W 121st St Overland Park KS 66209-2007 |
| Practice Telephone | 9136611755 |
| Practice Fax Number | 9136619260 |
| Mailing Telephone | 9136611755 |
| Mailing Fax Number | 9136619260 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0425136 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474543 | Timothy Glenn Parker | Marriage & Family Therapist | 2001 70th Ave Ste 200, Greeley, CO 80634-4613 | 2009-04-30 |
| 1861429086 | Timothy James Parker | Dentist | 8351 Bayberry Rd, Jacksonville, FL 32256-4427 | 2006-06-26 |
| 1871123406 | Timothy Leroy Parker Jr. | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-23 |
| 1063944429 | Timothy Ryan Parker | Psychiatry & Neurology | 701 Grove Road, Greenville, SC 29605-5601 | 2017-04-03 |
| 1871983668 | Timothy Grant Parker Jr. | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-01-31 |
| 1154758563 | Timothy Lewis Parker | Technician, Other | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-09-30 |
| 1437419819 | Timothy Parker | Home Health Aide | 1818 New York Ave Ne, 228, Washington, DC 20002-1848 | 2012-05-20 |
| 1043536337 | Timothy Glenn Parker | Physician Assistant | 9000 Franklin Square Dr, Department of Pediatrics, Baltimore, MD 21237-3901 | 2010-04-13 |
| 1689777526 | Timothy Lee Parker | Pharmacist | 520 N Main St, Perry, MI 48872 | 2006-09-06 |
| 1972541738 | Timothy Alan Parker | Optometrist | 6329 Gall Blvd, Zephyrhills, FL 33542 | 2006-06-03 |
| Street Address |
6901 W 121ST ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689841025 | Thomas Lewis Hamaguchi Hocker | Dermatology | 6901 W 121st St, Overland Park, KS 66209-2007 | 2008-05-14 |
| 1003016312 | Advanced Dermatologic Surgery, P.a. | Clinical Medical Laboratory | 6901 W 121st St, Overland Park, KS 66209-2007 | 2007-07-24 |
| 1649376757 | Ads Healthcare LLC | Clinic/Center | 6901 W 121st St, Overland Park, KS 66209-2007 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326484999 | Kevin R Brough | Dermatology | 1861 N Rock Rd Ste 205, Wichita, KS 67206-1264 | 2013-05-22 |
| 1740260868 | Joseph E. Gadzia | Dermatology | 2921 Sw Wanamaker Dr, Topeka, KS 66614-5334 | 2006-01-17 |
| 1427002575 | Shawn R Sabin | Dermatology | 11550 Granada Ln, Leawood, KS 66211-1453 | 2006-05-22 |
| 1124094867 | Advanced Dermatology and Skin Cancer Center, Pa | Dermatology | 2735 Pembrook Pl, Manhattan, KS 66502-7482 | 2006-02-23 |
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.