Active NPI
Theodore Michael Parsons, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
National Provider Identifier
1265450209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD447990
- Practice address
- 132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244 - Phone
- (215) 503-5642
- NPI assigned
- Jul 17, 2006
- Last updated
- Oct 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11116 | MT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD447990 | PA | Primary |
Addresses
Primary practice location
132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244
Mailing address
132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244
Phone (215) 503-5642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0341428 | Medicaid | NJ | |
| 102786480 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11116 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helena Laboratory Physicians | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Helena, MT
- NPI 1518997279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1265450209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "SUITE 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "SUITE 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "THEODORE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "11116",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD447990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341428",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102786480",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.