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1629154539

NPI Code Detail

MEDICARE: DR. MARK ALAN PARKHURST M.D.

MEDICARE: DR. MARK ALAN PARKHURST 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	207R00000X	Internal Medicine Physician	D0024093	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0943SE-345660-05	OTHER		CAREFIRST BCBS OF MD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	345660-04	OTHER	MD	BCBS
4	345660-04	OTHER		BCBS-MD
5	04-13565	OTHER		EVERCARE
6	52-2096682	OTHER		TRICARE NORTH
7	0055	OTHER		CAREFIRST BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	9680-0031	OTHER		CAREFIRST BCBS OF DC
10	0943ER-345660-05	OTHER		CAREFIRST BCBS OF MD

General Provider Information

NPI Number	:	1629154539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN PARKHURST M.D.

Provider Business Mailing Address
First Line	:	5730 EXECUTIVE DR STE 230
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1762
Country	:	US
Telephone Number	:	301-572-8340
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 GRACEFIELD RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1820
Country	:	US
Telephone Number	:	301-572-8340
Fax Number	:	301-572-8403

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	01/26/2026

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Directions to “ DR. MARK ALAN PARKHURST M.D.” Practice Location

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