Active NPI
Mary L Parish, D.O.
- Family Medicine Physician
- Jasper, TX
National Provider Identifier
1811044332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H2668
- Practice address
- 1276 South Peachtree St
Jasper, TX 75951-4916 - Phone
- (409) 384-5701
- Fax
- (409) 384-9820
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H2668 | TX | Primary |
Addresses
Primary practice location
1276 South Peachtree St
Jasper, TX 75951-4916
Mailing address
1276 South Peachtree St
Jasper, TX 75951-4916
Phone (409) 384-5701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2668 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventative Care Health Services, Inc. | Family Medicine | Current | Accepting new patients |
| Preventative Care Health Services, Inc | Family Medicine | Current | Accepting new patients |
Locations
1605 N State Highway 118
Alpine, TX 79830
Phone (432) 837-4812
Interoperability endpoints
- mary.parish.1@29743.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Marfa, TX
- NPI 1013196625
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Alpine, TX
- NPI 1518347921
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1811044332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 SOUTH PEACHTREE ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514916",
"telephone_number": "409-384-5701",
"fax_number": "409-384-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 SOUTH PEACHTREE ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514916",
"telephone_number": "409-384-5701",
"fax_number": "409-384-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISH",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H2668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.