Active NPI 1336134360 Individual Practitioner Male Practitioner

Dr. Jeffrey Dean Parks , MD

Dermatology • Ormond Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Parks, MD is a certified Dermatology practicing in Ormond Beach, FL. With approximately 33 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1993, Dr. Parks delivers high-quality medical care to the local community at 400 LAKEBRIDGE PLAZA DR.

Dr. Parks is affiliated with Parks Dermatology Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Lakebridge Plaza Dr

Ormond Beach, FL 321745157

Telephone 3866779044

Fax 3866773083

Associated Practice Facility / Clinic

🏢 Parks Dermatology Center Llc Facility NPI 1629063680

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Ormond Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +7.6 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Ormond Beach, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Parks (33 Years) 33 Yrs

Ormond Beach Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	467	395	$939.58	$623.84
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	160	127	$568.19	$395.02
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	131	126	$541.72	$187.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	111	108	$658.42	$225.51
17003 Destruction of precancer skin growth, 2-14 growths	80	13	$9.03	$6.24
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	79	75	$593.15	$204.16
17000 Destruction of skin growth	25	23	$92.83	$40.33
11102 Tangential biopsy of single skin lesion	18	17	$139.59	$69.99
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	17	17	$696.32	$240.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$78.37	$55.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$177.87	$124.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$591.99	$204.48
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	11	11	$496.06	$170.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	589	496	$938.44	$443.20
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	195	162	$567.63	$405.63
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	160	142	$1063.46	$715.73
17003 Destruction of precancer skin growth, 2-14 growths	136	20	$8.99	$5.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	116	112	$1076.51	$756.16
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	63	58	$1290.69	$891.71
11103 Biopsy of related skin growth, each additional growth	39	17	$69.38	$41.62
17000 Destruction of skin growth	37	30	$92.40	$35.72
11102 Tangential biopsy of single skin lesion	32	28	$139.27	$81.66
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	31	$658.42	$235.02
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$125.29	$87.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$177.87	$120.42
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	21	21	$157.62	$56.63
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	21	21	$593.15	$211.72
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	20	19	$982.82	$649.80
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	19	19	$541.72	$184.98
17110 Destruction of up to 14 skin growths	16	15	$155.05	$79.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$78.10	$55.96
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	13	13	$1206.47	$867.81
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	11	11	$878.82	$428.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	615	503	$936.70	$393.21
17003 Destruction of precancer skin growth, 2-14 growths	273	47	$9.21	$6.59
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	220	183	$568.37	$406.30
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	214	182	$1067.21	$720.22
11103 Biopsy of related skin growth, each additional growth	175	60	$71.15	$50.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	151	146	$1080.72	$764.91
11102 Tangential biopsy of single skin lesion	88	85	$142.32	$89.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	75	$179.16	$127.20
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	79	77	$1294.72	$924.86
17000 Destruction of skin growth	68	64	$94.01	$39.09
99213 Established patient office or other outpatient visit, typically 15 minutes	53	50	$127.17	$91.04
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	33	32	$988.23	$684.30
17110 Destruction of up to 14 skin growths	33	33	$157.30	$95.53
17004 Destruction of precancer skin growth, 15 or more growths	31	30	$234.21	$162.61
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	30	25	$879.00	$335.52
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	29	29	$160.61	$57.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$79.27	$56.55
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	23	20	$1221.43	$835.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	11	$250.01	$117.05
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$1393.17	$991.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	908	692	$931.14	$399.29
17003 Destruction of precancer skin growth, 2-14 growths	632	112	$8.29	$6.38
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	367	297	$993.47	$715.07
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	342	250	$556.89	$410.90
11103 Biopsy of related skin growth, each additional growth	227	94	$68.23	$51.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	163	$155.91	$129.51
17000 Destruction of skin growth	170	160	$91.30	$39.68
11102 Tangential biopsy of single skin lesion	170	152	$135.59	$88.29
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	170	160	$1004.30	$761.73
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	100	92	$1205.06	$923.21
99213 Established patient office or other outpatient visit, typically 15 minutes	93	90	$110.03	$89.65
17110 Destruction of up to 14 skin growths	74	72	$154.68	$105.25
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	63	58	$922.15	$677.14
17004 Destruction of precancer skin growth, 15 or more growths	52	50	$220.27	$163.55
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	42	41	$153.02	$58.34
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	40	35	$871.83	$326.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$65.90	$56.34
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	27	24	$1125.98	$847.39
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$1102.71	$1115.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	935	750	$930.16	$394.70
17003 Destruction of precancer skin growth, 2-14 growths	678	102	$8.23	$5.86
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	399	294	$555.93	$399.50
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	293	264	$1076.88	$735.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	200	$152.84	$108.67
11103 Biopsy of related skin growth, each additional growth	222	96	$74.35	$52.73
11102 Tangential biopsy of single skin lesion	198	173	$139.36	$85.05
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	188	182	$1095.67	$780.46
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	163	151	$1310.55	$934.79
17000 Destruction of skin growth	153	139	$91.45	$37.79
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	94	90	$157.99	$56.95
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	81	61	$870.87	$332.70
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	76	66	$987.15	$647.41
17110 Destruction of up to 14 skin growths	58	55	$155.25	$102.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	57	$63.49	$45.85
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	53	51	$1218.48	$856.72
17004 Destruction of precancer skin growth, 15 or more growths	44	43	$220.60	$159.00
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$105.32	$73.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$247.32	$110.59
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	18	18	$1415.72	$1016.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	12	$288.48	$129.76
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	16	12	$530.11	$380.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	886	724	$923.00	$388.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	445	323	$541.00	$397.21
17003 Destruction of precancer skin growth, 2-14 growths	325	55	$8.00	$5.59
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	299	265	$1075.00	$743.39
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	205	195	$1099.00	$775.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	116	$150.00	$108.15
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	121	115	$1336.00	$959.30
11102 Tangential biopsy of single skin lesion	85	82	$138.00	$83.87
17000 Destruction of skin growth	84	77	$92.00	$41.33
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	58	54	$982.00	$686.35
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	56	49	$862.00	$335.77
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	54	51	$1233.00	$863.96
11103 Biopsy of related skin growth, each additional growth	54	28	$75.00	$53.13
17004 Destruction of precancer skin growth, 15 or more growths	45	40	$209.00	$145.24
17110 Destruction of up to 14 skin growths	36	36	$154.89	$96.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$61.00	$43.73
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$101.00	$71.13
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	13	13	$518.00	$352.62
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$1432.00	$1030.97
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$1430.00	$1034.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	777	648	$923.00	$374.02
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	374	272	$541.00	$385.89
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	224	202	$1075.00	$730.16
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	201	192	$1099.00	$771.08
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	111	104	$1337.26	$931.40
17003 Destruction of precancer skin growth, 2-14 growths	108	21	$8.00	$5.24
11100 Biopsy of single growth of skin and/or tissue	54	51	$145.00	$84.98
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	51	47	$1235.51	$840.83
11101 Biopsy of each additional growth of skin and/or tissue	50	21	$55.00	$32.93
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	47	46	$982.00	$660.66
17000 Destruction of skin growth	46	43	$92.00	$35.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$150.00	$106.80
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	37	35	$862.00	$307.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$61.00	$43.39
17110 Destruction of up to 14 skin growths	29	27	$153.55	$89.06
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	26	25	$1432.00	$1000.41
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	23	23	$1430.00	$1018.22
17004 Destruction of precancer skin growth, 15 or more growths	19	19	$209.00	$131.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$244.00	$106.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	859	708	$923.00	$387.12
17003 Destruction of precancer skin growth, 2-14 growths	695	115	$8.00	$5.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	488	352	$541.00	$384.58
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	251	223	$1075.00	$726.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	209	$150.01	$103.65
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	209	199	$1099.00	$768.78
17000 Destruction of skin growth	167	148	$92.00	$41.43
11100 Biopsy of single growth of skin and/or tissue	147	138	$145.00	$87.54
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	135	123	$1338.00	$935.64
11101 Biopsy of each additional growth of skin and/or tissue	117	59	$55.00	$32.85
17110 Destruction of up to 14 skin growths	77	73	$153.00	$94.61
17004 Destruction of precancer skin growth, 15 or more growths	61	56	$209.00	$139.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	55	$61.00	$42.86
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$101.00	$71.18
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	49	44	$1237.00	$837.87
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	37	$862.00	$326.31
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	35	33	$982.00	$676.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	30	$244.00	$104.91
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	24	$260.00	$103.53
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	22	22	$1432.00	$1018.33
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	19	$286.00	$130.56
88305 Pathology examination of tissue using a microscope, intermediate complexity	20	13	$140.00	$40.32
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	14	$518.00	$368.47
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	15	$248.00	$104.94
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1430.00	$1015.79
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$1537.00	$1084.46
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	11	$267.83	$113.49

Medical Specialties & State Licenses

CMS Verified: 2020-10-20

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME67417

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License FL ME67417

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Hospital & Practice Group Affiliations

Parks Dermatology Center Llc

400 Lakebridge Plaza Dr, Ormond Beach, FL 321745157

Phone: 3866779044

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Michael Suah , MD

Dermatology

NPI 1114912466

Doctor of Medicine (M.D.)

Meg Pierce , PA

Physician Assistant

NPI 1154318137

Physician Assistant

Dr. Courtney Bernett , DO

Dermatology

NPI 1265887152

Doctor of Osteopathic Medicine (D.O.)

Margaret Hewitt

Physician Assistant

NPI 1295671865

Dr. John Coppola , DO

Dermatology

NPI 1346462181

Doctor of Osteopathic Medicine (D.O.)

Julianne Mitchell , APRN

Nurse Practitioner

NPI 1417775206

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2011

Registered at 400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 321745157 (Tel: 3866779044)

📍

Updated Business Mailing Address December 29, 2011

Registered at 400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 321745157 (Tel: 3866779044)

👤

Provider Name / Credentials Updated December 29, 2011

Recorded as JEFFREY PARKS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2011

Dermatology (License #ME67417 in FL)

🟢

Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336134360

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 15, 2005

Last Update: October 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Lakebridge Plaza Dr

Ormond Beach, FL 321745157

Phone: 3866779044

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