NPIMap

DLP Maria Parham Physician Practices LLC

Organization Active NPI Medical Oncology Physician · Oxford, NC

NPI 1629447396 · NPPES record last updated Sep 23, 2015

Key facts

NPI
1629447396
Entity type
Organization (NPI type 2)
Primary specialty
Medical Oncology Physician 207RX0202X
Legal business name
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC
Practice address
1209 SE Industry Dr
Oxford, NC 27565-5023
Phone
(919) 603-3275
Fax
(919) 603-3294
NPI assigned
Sep 23, 2015
Organization subpart
No

Authorized official

Name
Jess Judy
Title
President
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111222000550 NC Part B Supplier - Clinic/Group Practice 7719153683 Receives reassigned benefits from 181 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NC; Louisburg, NC; Oxford, NC; Wake Forest, NC

National Provider Directory

Tax ID family
DLP Maria Parham Physician Practices LLC (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RX0202X Yes

Addresses

Primary practice location

1209 SE Industry Dr
Oxford, NC 27565-5023

Mailing address

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 436-1680

Other names

  • Maria Parham Medical Oncology Doing business as

Other providers in Oxford, NC

All providers in Oxford, NC · Medical Oncology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.