Jeffrey D Parks (NPI# 1336134360, PAC ID# 8628034832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1336134360 |
| PAC ID by PECOS | 8628034832 |
| Professional Enrollment ID | I20041208000879 |
| Full Name | Jeffrey D Parks |
| Organization Legal Name | PARKS DERMATOLOGY CENTER LLC |
| Address |
400 Lakebridge Plaza Dr Ormond Beach FL 32174-5157 |
| Phone Number | 3866779044 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7315985686 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 | 3866779044 | PARKS DERMATOLOGY CENTER LLC |
| Organization Legal Name | PARKS DERMATOLOGY CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karthik Krishnamurthy | Dermatology | Parks Dermatology Center LLC | 37 Old Kings N Rd, Palm Coast, FL 32137-8227 |
| Sommer Baron | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Michael J Suah | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Meg Elizabeth Pierce | Physician Assistant | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| John Coppola | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Rebekah Elisabeth Doyle | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Ida Jutting Bell | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Michelle W Foley | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Rachel L Derwick | Nurse Practitioner | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Lindsay Mach | Physician Assistant | Parks Dermatology Center LLC | 1175 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4745 |
| Street Address |
400 LAKEBRIDGE PLAZA DR |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32174-5157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Suah | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Meg Elizabeth Pierce | Physician Assistant | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| John Coppola | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Michelle W Foley | Dermatology | Parks Dermatology Center LLC | 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Van Ost | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Douglas Brian Hill | Physical Therapy | Elite Physical Therapy Associates, LLC | 410 S Nova Rd, Suite 2, Ormond Beach, FL 32174-0409 |
| Dennis Kee | Physician Assistant | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Therese A Ibrahim | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Zaw Myint | Family Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Teresa Ann Bowers | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Brian Hockensmith | Nurse Practitioner | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Maria Gontcharova | Internal Medicine | Metcare of Florida Inc | 420 S Nova Rd, 5 Metcare of East Ormond, Ormond Beach, FL 32174-0411 |
| Mary K Collins | Nurse Practitioner | Metcare of Florida | 420 S Nova Rd, Suite 4 and 5, Ormond Beach, FL 32174-0411 |
| Ruben D Sierra | Hematology/oncology | Metcare of Florida | 420 S Nova Rd, Ormond Beach, FL 32174-0411 |
| Find all physicians in zip 32174 | |||
| City | ORMOND BEACH |
| Zip Code | 32174 |
| Specialty | DERMATOLOGY |
| City + Specialty | ORMOND BEACH + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.