Healthcare Provider Details

I. General information

NPI: 1710394739
Provider Name (Legal Business Name): PARMORE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 BELLEMEADE AVE STE 117
EVANSVILLE IN
47714-0106
US

IV. Provider business mailing address

PO BOX 5475
EVANSVILLE IN
47716-5475
US

V. Phone/Fax

Practice location:
  • Phone: 812-475-8900
  • Fax: 812-475-0024
Mailing address:
  • Phone: 812-475-8900
  • Fax: 812-475-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000766A
License Number StateIN

VIII. Authorized Official

Name: DR. THOMAS K HUPFER
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 812-475-8900