Organization Active NPI

Lawrence Charles Parish MD

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1356488720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LAWRENCE CHARLES PARISH MD
Practice address
1760 Market St
Suite 301
Philadelphia, PA 19103-4134
Phone
(215) 563-8333
Fax
(215) 563-3044
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence Charles Parish, MDNPI 1548259815
Title
Owner
Phone
(215) 563-8333

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1760 Market St
Suite 301
Philadelphia, PA 19103-4134

Mailing address

1760 Market St
Suite 301
Philadelphia, PA 19103-4134
Phone (215) 563-8333

Other names 1

  • Parish Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000389 PA Part B Supplier - Clinic/Group Practice 1355232760 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1845 Walnut St
Ste 1650
Philadelphia, PA 19103
Phone (215) 563-8333

1760 Market St
Ste 301
Philadelphia, PA 19103
Phone (215) 563-8333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356488720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MARKET ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034134",
            "telephone_number": "215-563-8333",
            "fax_number": "215-563-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MARKET ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034134",
            "telephone_number": "215-563-8333",
            "fax_number": "215-563-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CHARLES PARISH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARISH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-563-8333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parish Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.