MEDICARE: JOSEPH D PARKHURST MD PC

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	208800000X	Urology Physician	11526	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11526	OTHER	OK	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720479371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH D PARKHURST MD PC

Provider Business Mailing Address
First Line	:	2349 N THOMPKINS AVE
Second Line	:
City	:	BETHANY
State	:	OK
Zip	:	73008-5307
Country	:	US
Telephone Number	:	405-495-6134
Fax Number	:	405-787-8466

Provider Business Practice Location Address
First Line	:	9220 S PENNSYLVANIA AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	405-692-1331
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. JOSEPH D PARKHURST
Credential	:	MD
Telephone Number	:	405-495-6134

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	07/20/2021

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