Nancy Parry MD., PC, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6497 Issued in ID

Practice address

Box 2359
Ketchum, ID 83340-2359

Phone

(208) 622-3180

Fax

(208) 622-3190

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25701/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ketchum Family Medicine, PLLC

  • Family Medicine Physician
  • Ketchum, ID
  • NPI 1720692650
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1033288865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 2359",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833402359",
            "telephone_number": "208-622-3180",
            "fax_number": "208-622-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 2359",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833402359",
            "telephone_number": "208-622-3180",
            "fax_number": "208-622-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRY MD., PC",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Morse
• Madeline Mortell, MFT
• Nancy Parry MD,PC
• David Nicholson, C.R.N.A.
• Sarah O'Connell
• Kristen Pendola Allen, FNP
• Joanna Peters
• Gary Glen Peterson, PH.D.
• Pharma Donna LLC
• Physical Therapy Plus of Idaho PLLC

• Family Medicine Physician in Ketchum, ID
• Providers in Ketchum, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.