MEDICARE: DR. AMY F. PARKER MD

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	207P00000X	Emergency Medicine Physician	MD15504	ME

General Provider Information

NPI Number	:	1518073725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY F. PARKER MD

Provider Business Mailing Address
First Line	:	100 GANNETT DR STE C
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-5900
Country	:	US
Telephone Number	:	207-828-0361
Fax Number	:	207-874-1483

Provider Business Practice Location Address
First Line	:	50 FODEN RD STE 3
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-1718
Country	:	US
Telephone Number	:	207-523-8500
Fax Number	:	207-523-8591

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	09/24/2020

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Directions to “ DR. AMY F. PARKER MD” Practice Location

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