Healthcare Provider Details

I. General information

NPI: 1245202928
Provider Name (Legal Business Name): DANIEL EMERY PARKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 MILL CREEK LN
STAUNTON VA
24401-9610
US

IV. Provider business mailing address

93 MILL CREEK LN
STAUNTON VA
24401-9610
US

V. Phone/Fax

Practice location:
  • Phone: 540-280-5194
  • Fax:
Mailing address:
  • Phone: 540-280-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNC950175
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101253484
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: