Provider Demographics
NPI:1588640031
Name:PARRETT, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:PARRETT
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 1:211 N WILSON DR
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-1562
Mailing Address - Country:US
Mailing Address - Phone:937-544-2022
Mailing Address - Fax:937-544-3280
Practice Address - Street 1:211 N WILSON DR
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-1562
Practice Address - Country:US
Practice Address - Phone:937-544-2022
Practice Address - Fax:937-544-3280
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070069P207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000019231OtherANTHEM PIN
OH110137397OtherMEDICARE RAILROAD
OH311413469040OtherCARESOURCE PIN
CA1586OtherGROUP MEDICARE RAILROAD
OH000000177706OtherUNISON PIN
OH09489499OtherGROUP MEDICAID
OH0493384OtherUHC PIN
OH0267590Medicaid
9270902Medicare PIN
OH000000177706OtherUNISON PIN
CA1586OtherGROUP MEDICARE RAILROAD