Individual provider · Type 1 NPI

John Richard Parker, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1124100508 Active

Practice location

4100 Lake Dr SE Ste 200
Grand Rapids, MI 49546-8292

Fax (616) 391-3052

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003563 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124100508

John Richard Parker, PA-C's National Provider Identifier is 1124100508, issued on Oct 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 25, 2021.