Provider Demographics
NPI:1568763985
Name:GEORGE PETER PARRAS MD INC
Entity Type:Organization
Organization Name:GEORGE PETER PARRAS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:TATAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-892-6588
Mailing Address - Street 1:26908 DETROIT RD
Mailing Address - Street 2:105
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2398
Mailing Address - Country:US
Mailing Address - Phone:440-892-6588
Mailing Address - Fax:440-892-8721
Practice Address - Street 1:26908 DETROIT RD
Practice Address - Street 2:105
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2398
Practice Address - Country:US
Practice Address - Phone:440-892-6588
Practice Address - Fax:440-892-8721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH594682082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPA0674621OtherMEDICARE ID
OH0791746Medicaid
OHE19198Medicare UPIN