Maria S. Parr, M.D.

Key facts

NPI

1326244682

Entity type

Individual (NPI type 1)

Primary specialty

Neurology Physician 2084N0400X

License

125.053508 (IL)

Practice address

Osf Saint Francis Medical Center
530 N.E.Glen Oak Ave.
Peoria, FL 61637

Phone

(309) 655-2702

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2013.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1326244682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 STONEWOOD CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152855",
            "telephone_number": "727-871-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OSF SAINT FRANCIS MEDICAL CENTER",
            "address_2": "530 N.E.GLEN OAK AVE.",
            "city": "PEORIA",
            "state": "FL",
            "postal_code": "61637",
            "telephone_number": "309-655-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARR",
        "first_name": "MARIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125.053508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}