Organization Active NPI

Edward Lansing Parry MD PA

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1346425915
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M4908 Issued in TX
Legal business name
EDWARD LANSING PARRY MD PA
Practice address
6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone
(972) 378-0620
Fax
(972) 378-0630
NPI assigned
Jan 2, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Edward L Parry, M.D.NPI 1740203678
Title
President
Phone
(972) 378-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X M4908 TX Primary

Addresses

Primary practice location

6100 Windhaven Pkwy
Plano, TX 75093-8046

Mailing address

6100 Windhaven Pkwy
Plano, TX 75093-8046
Phone (972) 378-0620

Other identifiers 2

IdentifierTypeStateIssuer
DH1321OtherRAILROAD MEDICARE GROUP NUMBER
0037PSOtherTXBC/BS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000485 TX Part B Supplier - Clinic/Group Practice 1557448719 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6100 Windhaven Pkwy
Ste 210
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1346425915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620",
            "fax_number": "972-378-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620",
            "fax_number": "972-378-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD LANSING PARRY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-378-0620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M4908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DH1321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "0037PS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.