Provider Demographics
NPI:1780260331
Name:PARRY, MARK JAMES (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:JAMES
Last Name:PARRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4424 E FLAMINGO AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9300
Mailing Address - Country:US
Mailing Address - Phone:208-302-1400
Mailing Address - Fax:
Practice Address - Street 1:3535 OLENTANGY RIVER ROAD - GROUND/YELLOW
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-566-5757
Practice Address - Fax:614-566-2338
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ID9871354207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology