IndividualActive
Travis Parker, M.D.
NPI 1700103983 · Student in an Organized Health Care Education/Training Program · Stony Brook, NY
Provider details
- NPI number
- 1700103983
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Nicolls Road
Level 2, Room 749 Dept. of Pathology
Stony Brook, NY 11794-7025
Phone: (631) 444-2214
Fax: (631) 444-3419
Approximate (ZIP-level) locationGet directions
Mailing address
101 Nicolls Road
Stony Brook, NY 11794-7025
Registry dates
- Enumerated
- 2010-04-27
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.