NPI Code Details Logo

NPI 1407269905

NPI 1407269905 : JAMES PARRIS M.D. : NEWARK, DE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407269905
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAMES PARRIS M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/03/2014
-----------------------------------------------------
    Last Update Date     |    08/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4755 OGLETOWN STANTON ROAD SUITE 6E34
-----------------------------------------------------
    City                 |    NEWARK
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19718-2200
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-733-4186
-----------------------------------------------------
    Fax                  |    302-733-6905
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1400 VFW PKWY 
-----------------------------------------------------
    City                 |    WEST ROXBURY
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02132-4927
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    617-323-7700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    269391
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    C1-0028070
-----------------------------------------------------
    License Number State |    DE
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RH0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    C1-0028070
-----------------------------------------------------
    License Number State |    DE
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.