Provider Demographics
NPI:1548238264
Name:PARNES, WILLIAM D (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:PARNES
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 1:11085 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2983
Mailing Address - Country:US
Mailing Address - Phone:410-997-7979
Mailing Address - Fax:410-997-9231
Practice Address - Street 1:11085 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2983
Practice Address - Country:US
Practice Address - Phone:410-997-7979
Practice Address - Fax:410-997-9231
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD16810174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD225086OtherMAMSI CARDIOLOGY
MD34568002OtherCAREFIRST BCBS MD
MD0481439OtherAETNA HEALTHCARE (HMO)
MD4105483OtherAETNA HEALTHCARE (NON-HMO
MD2500255OtherUNITED HEALTHCARE
MD0003OtherCAREFIRST BCBS PPO
MD05865OtherAMERIGROUP
MD189251700Medicaid
MD23680OtherJHHC
MD05865OtherAMERIGROUP
MD4105483OtherAETNA HEALTHCARE (NON-HMO
MD930L419EMedicare ID - Type UnspecifiedMEDICARE