Provider Demographics
NPI:1780621623
Name:PARZYNSKI, ROBERT W (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:PARZYNSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 FOREST COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7597
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1428 FOREST COMMONS DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7597
Practice Address - Country:US
Practice Address - Phone:317-742-7796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000895208800000X
IN02000895A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000648417OtherBCBS
IN100239260Medicaid
INP01424260OtherRAILROAD MEDICARE
INP01424260OtherRAILROAD MEDICARE
IN000000648417OtherBCBS