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NPI Code Detail

MEDICARE: JOSE E PARODI M.D.

MEDICARE: JOSE E PARODI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician35.074116OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922001908
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE E PARODI M.D.
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1690
Country : US
Telephone Number : 419-630-2290
Fax Number : 419-630-2301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/01/2024

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Directions to “ JOSE E PARODI M.D.” Practice Location

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