=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134397185
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARTHEL E. PARSONS M.D. LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2008
-----------------------------------------------------
Last Update Date | 02/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9205 E US HIGHWAY 40
-----------------------------------------------------
City | INDEPENDENCE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64055-6109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-737-5600
-----------------------------------------------------
Fax | 816-737-5604
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9205 E US HIGHWAY 40
-----------------------------------------------------
City | INDEPENDENCE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64055-6109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-737-5600
-----------------------------------------------------
Fax | 816-737-5604
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MARTHEL E PARSONS
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 816-737-5600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 2003012212
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------