Active NPIIndividual provider

Jesse P Parks, DPM

Podiatrist in Milford, Connecticut

NPI Number1578738621
Practice location
32 Cherry St, Milford, CT 06460-3429
Fax
203-877-7849
Last updated
September 29, 2020

Jesse Patrick Parks is a Podiatrist based in Milford, CT. Jesse Patrick Parks practices in Milford, CT and has the professional credentials of DPM. The NPI Number for Jesse Patrick Parks is 1578738621 and holds a License No. 000832 (CT). The current practice location address for Jesse Patrick Parks is 32 Cherry St, Milford, CT 06460-3429 and can be reached out via phone at 203-874-6755 and via fax at 203-877-7849.

Provider Profile Details

NPI Number
1578738621
Provider Name
Jesse Patrick Parks
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
32 Cherry St, Milford, CT 06460-3429
Phone Number
203-874-6755
Fax Number
203-877-7849
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2008
Last Update Date
September 29, 2020
Certification Date
September 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Cherry St
Milford, CT 06460-3429
Zip
06460-3429
Phone Number
203-874-6755
Fax Number
203-877-7849
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
32 Cherry St
Milford, CT 06460-3429
City
Milford
State
CT
Zip
06460-3429
Phone Number
203-874-6755
Fax Number
203-877-7849

License Information

License Number
000832
License State
CT
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jesse P Parks, DPM?

The NPI number of Jesse P Parks, DPM is 1578738621. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Jesse P Parks, DPM?

Jesse P Parks, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in CT under license number 000832.

Where does Jesse P Parks, DPM practice?

The practice location is 32 Cherry St, Milford, CT 06460-3429. The office can be reached at 203-874-6755 (phone) or 203-877-7849 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578738621 directly on the NPPES registry website.

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