1548238264 NPI number — WILLIAM D PARNES MD

Table of content: WILLIAM D PARNES MD (NPI 1548238264)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548238264 NPI number — WILLIAM D PARNES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARNES
Provider First Name:
WILLIAM
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548238264
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11085 LITTLE PATUXENT PKWY
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-2983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-997-7979
Provider Business Mailing Address Fax Number:
410-997-9231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11085 LITTLE PATUXENT PKWY
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044-2983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-997-7979
Provider Business Practice Location Address Fax Number:
410-997-9231
Provider Enumeration Date:
03/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D16810 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 225086 . This is a "MAMSI CARDIOLOGY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 34568002 . This is a "CAREFIRST BCBS MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0481439 . This is a "AETNA HEALTHCARE (HMO)" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4105483 . This is a "AETNA HEALTHCARE (NON-HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2500255 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0003 . This is a "CAREFIRST BCBS PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 05865 . This is a "AMERIGROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 189251700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 23680 . This is a "JHHC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com