Provider Demographics
NPI:1770568172
Name:PARSONS, STEPHEN FREDERICK (MD,PHD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FREDERICK
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6683
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27628-6683
Mailing Address - Country:US
Mailing Address - Phone:919-740-7999
Mailing Address - Fax:
Practice Address - Street 1:2131 S 17TH STREET, NEONATOLOGY OFFICE
Practice Address - Street 2:1ST FLOOR, BETTY CAMERON CHILDRENS HOSPITAL
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-667-2724
Practice Address - Fax:910-667-7390
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003-0001812080N0001X
CT561212080N0001X
ND143232080N0001X
NC2003001812080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
13919OtherBCBS
806761OtherPARTNERS
WV3810008388Medicaid
NC5901146Medicaid
7544746OtherAETNA
806761OtherPARTNERS
NC5901146Medicaid