Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Parker

Individual provider Pediatrics Physician · NPI 1821747635

Samuel Parker is a Pediatric Medicine in Morgantown, West Virginia. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2022, 4 years ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
4
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone: (304) 598-4835
Fax: (304) 285-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-3400

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 011935 (AZ)

Record details

NPI number1821747635
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2022
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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