Provider Demographics
NPI:1669481206
Name:PARMAN, CRAIG ROBERT (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:ROBERT
Last Name:PARMAN
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 1:7107 S MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-7678
Mailing Address - Country:US
Mailing Address - Phone:316-858-4165
Mailing Address - Fax:316-858-4169
Practice Address - Street 1:7107 S MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-7678
Practice Address - Country:US
Practice Address - Phone:316-858-4165
Practice Address - Fax:316-858-4169
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21179207Q00000X, 207QG0300X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS080147938OtherMEDICARE RAILROAD
KS057430OtherBC/BS
KS080147938OtherMEDICARE RAILROAD
KSB69311Medicare UPIN