Provider Demographics
NPI:1174582357
Name:PARKER, RICHARD K (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:K
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4900 SOUTH MONACO STREET
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-226-4650
Mailing Address - Fax:303-751-6069
Practice Address - Street 1:1601 E 19TH AVENUE
Practice Address - Street 2:STE 5000
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1254
Practice Address - Country:US
Practice Address - Phone:303-226-4650
Practice Address - Fax:303-751-6069
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0016391208G00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01163914Medicaid
COP01648988Medicare PIN
CO381752ZKASMedicare PIN
COD23057Medicare UPIN
CO01163914Medicaid