Healthcare Provider Details

I. General information

NPI: 1033146196
Provider Name (Legal Business Name): MARC RONALD PARRISH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD MS 2028
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

PO BOX 411851
KANSAS CITY MO
64141-1851
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6201
  • Fax: 913-588-6271
Mailing address:
  • Phone: 913-588-6201
  • Fax: 913-588-6271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0531494
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number05-31494
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: