Raven Parke, PA-C

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1114545928

Raven Parke, PA-C is a Physician Assistant in Forest, Virginia. Qualified in 2020, 6 years ago. Practices with Igata and Parke PLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying: 6
Licensed in: VA
In the registry since: 2020
Specialties on file: 3

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.

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Practice location Address checks out

14805 Forest Rd Ste 229
Forest, VA 24551-5019
Phone: (434) 207-2337

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

21054a Timberlake Rd, Lynchburg, VA 24502-7327 — (434) 239-0627
213 18th St Se, Roanoke, VA 24013-1311 — (240) 543-7868
4035 Electric Rd Ste A, Roanoke, VA 24018-8449 — (540) 772-8670

Specialties & licences

Medical Physician Assistant (primary)	Taxonomy 363AM0700X · Licence 0110-007699 (VA)
Emergency Medical Services (Emergency Medicine) Physician	Taxonomy 207PE0004X · Licence 00000000 (VA)
Physician Assistant	Taxonomy 363A00000X · Licence 0000000 (VA)

Record details

NPI number	1114545928
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA-C
Sole proprietor	No
NPI enumerated	July 8, 2020
Last updated in NPPES	June 28, 2024
Certification date	June 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2020 (6 years in practice)
Group practice	Igata And Parke Plc — 2 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount