Healthcare Provider Details

I. General information

NPI: 1114605326
Provider Name (Legal Business Name): SCOTT PARRY, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 S MCCARRAN BLVD
RENO NV
89509-6145
US

IV. Provider business mailing address

PO BOX 25558
PASADENA CA
91185-5558
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-1945
  • Fax: 805-413-9099
Mailing address:
  • Phone: 805-719-3700
  • Fax: 805-852-2636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GALE JOHNSON
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 281-771-6627