Provider Demographics
NPI:1689693152
Name:PARSONS, IRA M IV (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:M
Last Name:PARSONS
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOBY
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7 MARSH BROOK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-6523
Mailing Address - Country:US
Mailing Address - Phone:603-742-2007
Mailing Address - Fax:603-749-4605
Practice Address - Street 1:7 MARSH BROOK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-6523
Practice Address - Country:US
Practice Address - Phone:603-742-2007
Practice Address - Fax:603-749-4605
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12114207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204049Medicaid
NH30204049Medicaid