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KATHERINE MARIE PARKS MD
NPI 1689251498
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 26, 2021PECOS Enrolled
22151 MOROSS RD STE 214, DETROIT, MI 48236(313) 343-4867(313) 343-3280 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katherine Marie Parks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE MARIE PARKS MD (NPI 1689251498) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689251498
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE MARIE PARKSCredential: MD
Location Address22151 MOROSS RD STE 214Detroit, MI 48236-2151
Mailing Address22151 Moross Rd Ste 214Detroit, MI 48236-2151 · (313) 343-4867 · Fax (313) 343-3280
Phone(313) 343-4867
Fax(313) 343-3280
Sole ProprietorNo
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1689251498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22151 MOROSS RD STE 214, Detroit, MI 48236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Parks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID JACOB CLAUSEN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
TYLER MASTERS
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
LISA CARVER
Surgery
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
DR. MEDEA SHANIDZE MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
NOUR HASSAN MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ISABELLA GRAHAM MD
Surgery
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
NICHOLAS WILLIAM DALAGIANNIS
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867
ANDREW PASEK MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-4867

Frequently Asked Questions

What is Katherine Parks's NPI number?

The NPI number assigned to this healthcare provider is 1689251498, enumerated as an "individual" on March 26, 2021.

Where is the provider located?

The provider is located at 22151 MOROSS RD STE 214 DETROIT, MI 48236 and the phone number is (313) 343-4867.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.