ROY B PARKE D.O. NPI 1275687147

NPI Information

NPI: 1275687147
Provider Name: ROY B PARKE D.O.

Doing Business As: BUCHANAN FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1045 E FRONT ST
BUCHANAN, MI
ZIP 49107
Phone: (269) 695-5540
Get Directions

ROY B PARKE D.O. is a family medicine in Buchanan, MI. The provider is 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. ROY B PARKE D.O. NPI is 1275687147. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Buchanan Family Medical Center.

The provider's business location address is:

1045 E FRONT ST
BUCHANAN, MI
ZIP 49107-474
Phone: (269) 695-5540
Fax: (269) 695-0412

The provider's authorized official is Brenda Lee Ernsberger .
The authorized official title is Office Manager and has the following contact phone number (269) 695-5540.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 5/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		5101010822	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5111155	OTHER	MICHIGAN	BCBSM PROVIDER #
2	5111148	OTHER	MICHIGAN	BCBSM PROVIDER NUMBER
3	0P302600003	OTHER	MICHIGAN	BCBSM
4	0P30260005	MEDICARE PIN	MICHIGAN
5	5113009	OTHER	MICHIGAN	BCBSM PROVIDER #
6	2575222	MEDICAID	MICHIGAN
7	0P30260007	MEDICARE PIN	MICHIGAN
8	0877052	OTHER	MICHIGAN	BCBSM PROVIDER #
9	0A11219	OTHER	MICHIGAN	BCBSM PROVIDER #
10	0P30260006	OTHER	MICHIGAN	BCBSM
11	0P30260	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MCR GROUP PROVIDER NUMBER
12	0P30260008	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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