Provider Demographics
NPI:1588625081
Name:PARSONS, ROBERT M (CNP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:PARSONS
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 CLEVELAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44702-1805
Mailing Address - Country:US
Mailing Address - Phone:330-455-0374
Mailing Address - Fax:330-455-2101
Practice Address - Street 1:1207 W STATE ST STE M
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4686
Practice Address - Country:US
Practice Address - Phone:330-821-8407
Practice Address - Fax:330-821-8506
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.04144363LP0808X
OHRN261442 NP 04144363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0277584OtherMEDICARE RAILROAD
OH2164401Medicaid
OH3810003566OtherUNISYS
OH3810003566OtherUNISYS
OH0277584OtherMEDICARE RAILROAD
OH1932312543OtherNPI EAST LIVERPOOL OFFICE
OH11552498OtherCAQH
OH1508967084OtherNPI CAMELOT ARMS
OH1538258504OtherNPI ESSEX OF SALEM III
OH1629167697OtherNPI ESSEX OF SALEM II
OH1194826644OtherNPI MERIDIAN ARMS
OH1518098334OtherNPI AUSTINTOWN OFFICE
OH1912008434OtherNPI ESSEX OF SALEM I
OH1649275009OtherNPI CALCUTTA HEALTHCARE
OH2164401Medicaid
OH1528078342OtherNPI WINDSON HEALTHCARE
OH2164401Medicaid
OH1538258504OtherNPI ESSEX OF SALEM III
OHS79966Medicare UPIN
OHNP03066Medicare PIN