MEDICARE: DR. MARCHETA VALENTINE PARKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	00023971	AL
2	208D00000X	General Practice Physician	00023971	AL
3	208VP0000X	Pain Medicine Physician	00023971	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	050089325	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-30884	OTHER	AL	BCBS PHYSICIAN BASED CRNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	515-10516	OTHER	AL	BCBS HOSPITAL BASED CRNA

General Provider Information

NPI Number	:	1164447835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCHETA VALENTINE PARKER M.D.

Provider Business Mailing Address
First Line	:	6275 UNIVERSITY DR NW STE 37368
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-1776
Country	:	US
Telephone Number	:	256-656-8874
Fax Number	:

Provider Business Practice Location Address
First Line	:	3504 OAKWOOD AVE NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-4352
Country	:	US
Telephone Number	:	256-656-8864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/27/2022

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Directions to “ DR. MARCHETA VALENTINE PARKER M.D.” Practice Location

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