Provider Demographics
NPI:1508873191
Name:PARMELEE, WARREN E (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:E
Last Name:PARMELEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10508 WAKEMAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407
Mailing Address - Country:US
Mailing Address - Phone:540-710-9340
Mailing Address - Fax:540-710-2580
Practice Address - Street 1:10508 WAKEMAN DRIVE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407
Practice Address - Country:US
Practice Address - Phone:540-710-9340
Practice Address - Fax:540-710-2580
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035076207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
217466OtherMDMSI
VA025549OtherBCBS
1887136OtherUHC
VAC01596OtherMEDICARE GROUP NUMBER
VAC15119OtherMEDICARE RR 1500
VAC01596OtherMEDICARE GROUP NUMBER
B60191Medicare UPIN