Provider Demographics
NPI:1861678575
Name:MELVIN L PARNELL MD APMC
Entity Type:Organization
Organization Name:MELVIN L PARNELL MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-885-8225
Mailing Address - Street 1:4720 S I 10 SERVICE RD W
Mailing Address - Street 2:SUITE 301
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-7404
Mailing Address - Country:US
Mailing Address - Phone:504-885-8225
Mailing Address - Fax:504-885-7642
Practice Address - Street 1:4720 S I 10 SERVICE RD W
Practice Address - Street 2:SUITE 301
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7404
Practice Address - Country:US
Practice Address - Phone:504-885-8225
Practice Address - Fax:504-885-7642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
84138OtherCOVENTRY
LADG9059OtherRAILROAD MEDICARE GROUP
LA200004490OtherRAILROAD PROVIDER
LA4293777OtherAETNA
LA1363286Medicaid
LA28002OtherBLUE CROSS
LA200004490OtherRAILROAD PROVIDER
LA28002OtherBLUE CROSS