Provider Demographics
NPI:1811977994
Name:PARSONS, TERRY E (MD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:E
Last Name:PARSONS
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 1:300 N WADE RD
Mailing Address - Street 2:
Mailing Address - City:WADE
Mailing Address - State:ME
Mailing Address - Zip Code:04786-4027
Mailing Address - Country:US
Mailing Address - Phone:207-554-6586
Mailing Address - Fax:
Practice Address - Street 1:140 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3102
Practice Address - Country:US
Practice Address - Phone:207-768-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY12835C207L00000X
MEMD27085207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA6111427Medicaid
IAF87203Medicare UPIN
IA44154Medicare ID - Type Unspecified