Provider Demographics
NPI:1922050491
Name:PARROTT, OLSON II (MD)
Entity Type:Individual
Prefix:DR
First Name:OLSON
Middle Name:
Last Name:PARROTT
Suffix:II
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 1:1700 NICHOLASVILLE RD
Mailing Address - Street 2:# 701
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1431
Mailing Address - Country:US
Mailing Address - Phone:859-278-0396
Mailing Address - Fax:859-277-5414
Practice Address - Street 1:1700 NICHOLASVILLE RD
Practice Address - Street 2:# 701
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1431
Practice Address - Country:US
Practice Address - Phone:859-278-0396
Practice Address - Fax:859-277-5414
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18439207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64184393Medicaid
KY1431003Medicare ID - Type Unspecified
KY64184393Medicaid