Provider Demographics
NPI:1639349806
Name:SCOTT G. PARKHILL, M.D., P.C.
Entity Type:Organization
Organization Name:SCOTT G. PARKHILL, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-750-1135
Mailing Address - Street 1:PO BOX 3797
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-3797
Mailing Address - Country:US
Mailing Address - Phone:775-883-2202
Mailing Address - Fax:775-883-0797
Practice Address - Street 1:313 W ANN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3903
Practice Address - Country:US
Practice Address - Phone:775-883-2202
Practice Address - Fax:775-883-0797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9757207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV34823OtherMEDICARE ID
NV1962577304OtherNPI TYPE 1
NV34823OtherMEDICARE ID