DR. JENNIFER CHRISTINE PARKS (NPI# 1689683179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689683179 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CHRISTINE PARKS |
| Credential | M.D. |
| Practice Address |
250 Charlois Blvd Winston Salem NC 27103-1508 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367181000 |
| Practice Fax Number | 3367181050 |
| Mailing Telephone | 3367181000 |
| Mailing Fax Number | 3367181050 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2006-01163 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 200601163 | NC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2006-01163 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 2057165A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113773 | Jennifer Parks | Nurse Practitioner | 13617 S 287th East Ave, Coweta, OK 74429-7024 | 2020-01-07 |
| 1972057404 | Jennifer Kiyomi Parks | Optometrist | 156 Jacinto Way, Sunnyvale, CA 94086-7027 | 2016-08-13 |
| 1356894158 | Jennifer Rose Parks | Technician, Other | 39140 Cherokee Dr, Romulus, MI 48174-5025 | 2016-07-27 |
| 1356700496 | Jennifer Lyne Parks | Nurse Practitioner | 4300 W 133rd St Ste 200, Leawood, KS 66209-3307 | 2016-02-17 |
| 1699025106 | Jennifer L Parks | Acupuncturist | 4500 E Speedway Blvd, Suite 80, Tucson, AZ 85712 | 2012-09-12 |
| 1902167802 | Jennifer Parks | Massage Therapist | 2584 Cheryl Pl, Palm Springs, CA 92262-2103 | 2012-06-06 |
| 1588728547 | Jennifer A Parks | Counselor | 2090 Executive Hall Rd Ste 170, Charleston, SC 29407-8710 | 2006-12-21 |
| 1518439512 | Jennifer Diane Parks | Social Worker | 2060 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2792 | 2019-01-02 |
| 1679074942 | Jennifer Marie Parks | Behavior Technician | 106 Discovery, Irvine, CA 92618-3131 | 2018-02-22 |
| 1225538333 | Jennifer Parks | Psychologist | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2018-02-15 |
| Street Address |
250 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503449 | Ryan Angus Mcdonald | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2005-07-27 |
| 1790266310 | Ashleigh Wynne Lucas | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2018-08-22 |
| 1841651841 | Alexandra Gilmore Sheppard | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2016-03-18 |
| 1922409234 | Tacorya Denise Morrison | Pharmacist | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2014-09-06 |
| 1831508860 | Sarah D Pearce | Pharmacist | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2014-08-04 |
| 1497183206 | Forsyth Memorial Hospital Inc | Internal Medicine | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-10-15 |
| 1265868764 | Forsyth Memorial Hospital, Inc | Internal Medicine | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-09-17 |
| 1083055396 | Phillip A Kelley | Physician Assistant | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-07-15 |
| 1427493980 | Marian Virginia Hazy | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-05-09 |
| 1609120690 | Tangula Latrice Simmons | Nurse Practitioner | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2012-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1669026456 | Brandon Chase Barnette | Family Medicine | 1825 Denise Ln, Winston Salem, NC 27127-8850 | 2019-07-30 |
| 1649747999 | Darryl Landis | Family Medicine | 480 Stonegate Ln, Winston Salem, NC 27104-1825 | 2018-10-25 |
| 1063918670 | Cms Med Health and Wellness Pllc | Family Medicine | 3878 Oxford Station Way, Winston Salem, NC 27103-1340 | 2018-04-03 |
| 1083069082 | Michael Merz | Family Medicine | Wake Forest Family Medicine Residency, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2016-04-27 |
| 1225475023 | Novant Medical Group Inc | Family Medicine | 10479 N Nc Highway 109, 107a, Winston Salem, NC 27107-9643 | 2013-06-03 |
| 1598028987 | Urgent Cares of America North Carolina Inc. | Family Medicine | 310 S Stratford Rd, Winston Salem, NC 27103-1820 | 2012-06-20 |
| 1518224617 | Daniel Lewis Myers | Family Medicine | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 | 2012-04-13 |
| 1982989828 | Urgent Cares of America North Carolina Inc | Family Medicine | 4937 Old Country Club Rd., Winston Salem, NC 27104-5068 | 2011-10-11 |
| 1558657403 | Laura Bartels Torres | Family Medicine | 50 Miller St Ste G, Winston Salem, NC 27104 | 2011-06-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.