DR. JOSEPH WILLIAM PARKS IV (NPI# 1558564591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564591 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH WILLIAM PARKS IV |
| Credential | M.D. |
| Practice Address |
14540 Old Saint Augustine Rd Ste 2391 Suite C50 Jacksonville FL 32258-7418 |
| Mailing Address |
11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 9042623372 |
| Practice Fax Number | 9042623306 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043991717 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME 116390 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225412 | Joseph Parks | Radiologic Technologist | 412 Treetop Village Ct, Ballwin, MO 63021-7456 | 2015-05-21 |
| 1639580574 | Joseph Abraham Parks | Preventive Medicine | Msc Physical Medicine & Rehabilitation, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-14 |
| 1255493599 | Joseph Kyle Parks | Optometrist | 127 Village Dr, Suite 300, Belgrade, MT 59714-9617 | 2006-12-14 |
| 1003898495 | Joseph J. Parks | Psychiatry & Neurology | Family Health Center of Boone County, 1001 West Worley, Columbia, MO 35203-2037 | 2005-11-19 |
| 1437118965 | Joseph Lindsay Parks | Family Medicine | 100 Neal Ave, Marion Center, PA 15759 | 2006-03-22 |
| 1194709352 | Joseph W. Parks IIi | Surgery | 15 Cavender St, Newnan, GA 30263-1931 | 2005-12-01 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD STE 2391 SUITE C50 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913383 | Frank E Trogolo | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 | 2005-06-22 |
| 1558914879 | Christen Kohl Trogolo | Nurse Practitioner | 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258-7418 | 2019-07-17 |
| 1659772515 | Jose Nieves | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258-7418 | 2014-09-10 |
| 1023079670 | Fernando Miguel Fernandez | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831644 | Loren Zalman Clayman | Plastic Surgery | 1801 Barrs Street Suite 200, Jacksonville, FL 32204 | 2006-12-27 |
| 1134217839 | Thomas Joseph Rojy Jr. | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2006-10-10 |
| 1881678753 | Erez Gabriel Sternberg | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2005-12-02 |
| 1336138734 | Mohamad Reza Samiian | Plastic Surgery | 4221 Southpoint Pkwy, Jacksonville, FL 32216 | 2005-10-18 |
| 1861495723 | David Winton Mobley | Plastic Surgery | 5101 Gate Parkway, Suite 2, Jacksonville, FL 32256-7276 | 2005-05-24 |
| 1720354046 | Body Balance Md | Plastic Surgery | 6817 Southpoint Pkwy, Suite 801, Jacksonville, FL 32216 | 2012-03-30 |
| 1902108020 | Sofia K. Kirk, M.d., Pllc | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-11-22 |
| 1417262288 | Mclane Medical, Inc. | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-08-17 |
| 1760797773 | Thomas J Rojy Jr Md Pa | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2010-08-13 |
| 1588985972 | Jacksonville Plastic Surgery Inc | Plastic Surgery | 3599 University Blvd S, Suite 1600, Jacksonville, FL 32216-4252 | 2010-06-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.