Healthcare Provider Details
I. General information
NPI: 1891763405
Provider Name (Legal Business Name): JAMES L PARKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/09/2006
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1899 TATE BLVD SE SUITE 1105
HICKORY NC
28602-4200
US
IV. Provider business mailing address
1899 TATE BLVD SE SUITE 1105
HICKORY NC
28602-4200
US
V. Phone/Fax
- Phone: 828-322-3821
- Fax: 828-322-6697
- Phone: 828-322-3821
- Fax: 828-322-6697
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZD0900X |
| Taxonomy | Dermatopathology (Pathology) Physician |
| License Number | 13877 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZC0500X |
| Taxonomy | Cytopathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZF0201X |
| Taxonomy | Forensic Pathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZH0000X |
| Taxonomy | Hematology (Pathology) Physician |
| License Number | 13877 |
| License Number State | NC |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZI0100X |
| Taxonomy | Immunopathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZB0001X |
| Taxonomy | Blood Banking & Transfusion Medicine Physician |
| License Number | 13877 |
| License Number State | NC |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZM0300X |
| Taxonomy | Medical Microbiology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZN0500X |
| Taxonomy | Neuropathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0007X |
| Taxonomy | Molecular Genetic Pathology (Pathology) Physician |
| License Number | 13877 |
| License Number State | NC |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 11 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0104X |
| Taxonomy | Chemical Pathology Physician |
| License Number | 13877 |
| License Number State | NC |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0105X |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| License Number | 13877 |
| License Number State | NC |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0213X |
| Taxonomy | Pediatric Pathology Physician |
| License Number | 13877 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
