MEDICARE: DR. SCOTT D 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	207RI0200X	Infectious Disease Physician	15881	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	440001209	OTHER	AL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	E92662	OTHER	AL	VIVA

General Provider Information

NPI Number	:	1992716120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT D PARKER MD

Provider Business Mailing Address
First Line	:	250 CHATEAU DRIVE SW
Second Line	:	SUITE 115
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3847
Country	:	US
Telephone Number	:	256-533-4645
Fax Number	:	256-808-3178

Provider Business Practice Location Address
First Line	:	250 CHATEAU DR SW
Second Line	:	SUITE 115
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-6436
Country	:	US
Telephone Number	:	256-533-4645
Fax Number	:	256-808-3178

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	11/02/2018

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Directions to “ DR. SCOTT D PARKER MD” Practice Location

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