Provider Demographics
NPI:1336142298
Name:PARLIAMENT, JAMES ROSS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROSS
Last Name:PARLIAMENT
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 1:1400 CHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1909
Mailing Address - Country:US
Mailing Address - Phone:765-966-3585
Mailing Address - Fax:765-966-9274
Practice Address - Street 1:1400 CHESTER BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1909
Practice Address - Country:US
Practice Address - Phone:765-966-3585
Practice Address - Fax:765-966-9274
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01034140207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1445612OtherUNITED MINE WORKERS
IN100325980 A & BMedicaid
OH0614053OtherOHIO MEDICAID
IN070009137Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH0614053OtherOHIO MEDICAID
IN100325980 A & BMedicaid