Provider Demographics
NPI:1548153893
Name:PARKER, JUDGE F IV
Entity type:Individual
Prefix:MR
First Name:JUDGE
Middle Name:F
Last Name:PARKER
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10605 JOAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2844
Mailing Address - Country:US
Mailing Address - Phone:216-262-6269
Mailing Address - Fax:216-262-6269
Practice Address - Street 1:10605 JOAN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2844
Practice Address - Country:US
Practice Address - Phone:216-262-6269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide