DR. WILLIAM E PARKS JR. (NPI# 1588677686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588677686 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM E PARKS JR. |
| Credential | M.D. |
| Practice Address |
4402 Churchman Ave Suite 205 Louisville KY 40215-1190 |
| Mailing Address |
8812 Peterborough Dr Louisville KY 40222-5222 |
| Practice Telephone | 5023668825 |
| Practice Fax Number | 5023660044 |
| Mailing Telephone | 5023668825 |
| Mailing Fax Number | 5023660044 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 28268 | IN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 19706 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 2432225000 | 01 |
| KY | ANTHEM FACET | 000000051436 | 01 |
| KY | PASSPORT | 1048806 | 01 |
| KY | 64197064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285068288 | William Brian Parks | Psychologist | 1886 Canoe Rdg Nw, Kennesaw, GA 30152-6209 | 2013-08-26 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1528163045 | William Patrick Parks | Optometrist | 1192 Dogwood Drive Sw, Conyers, GA 30012-5454 | 2006-09-13 |
| 1720007636 | William Douglas Parks | Chiropractor | 1331 N Telegraph Rd, Monroe, MI 48162-3374 | 2006-07-19 |
| 1376949826 | William Parks | Dentist | 23521 Paseo De Valencia, #112, Laguna Hills, CA 92653-3107 | 2014-11-11 |
| 1235489410 | William Kent Parks | Counselor | 351 N Air Depot Blvd, Suit M, Midwest City, OK 73110-1700 | 2012-09-14 |
| 1831316306 | William T Parks IIi | Dentist | 5498 109th Avenue, Pullman, MI 49450-9631 | 2007-04-19 |
| 1851515191 | William Robert Parks | Marriage & Family Therapist | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2007-04-11 |
| 1285797274 | William Barto Parks | Pediatrics | 9250 Pinecroft Dr, Adm., The Woodlands, TX 77380-3218 | 2006-12-19 |
| 1033299086 | William B Parks IIi | Anesthesiology | 240 Stoneridge Dr, Suite 304, Columbia, SC 29210-8013 | 2006-10-16 |
| Street Address |
4402 CHURCHMAN AVE SUITE 205 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424321 | Joel Philip Garmon | Surgery | 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 | 2005-06-01 |
| 1629523048 | Cynthia Byers | Nurse Practitioner | 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 | 2016-08-16 |
| 1780047456 | Distler, Huntington & Blair Psc | Optometrist | 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 | 2016-03-31 |
| 1790143295 | Julia L Staib | Nurse Practitioner | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2016-01-29 |
| 1306218805 | Charna E Gaither | Nurse Practitioner | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2015-10-22 |
| 1255703922 | Michelle Sims | Nurse Practitioner | 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 | 2015-10-21 |
| 1609246156 | Elizabeth Mann Gasser | Physician Assistant | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2015-09-28 |
| 1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
| 1417366279 | Louisville & So Indiana Pulmonary Care | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-06 |
| 1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| 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 |
|---|---|---|---|---|
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1821004367 | Ronald N Barbie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 East Liberty St, Suite 900, Louisville, KY 40202-1538 | 2006-08-01 |
| 1972564268 | George J Mikos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2006-03-28 |
| 1982608543 | Lawrence G. Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-06-10 |
| 1578807632 | Bahaaldin Alsoufi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2012-11-15 |
| 1710230180 | Dowling Consulting Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 E Liberty St, Suite 900, Louisville, KY 40202-1530 | 2012-10-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.