Individual provider Active NPI

Paul Martin Parmelee, D.O.

  • Family Medicine Physician
  • Le Mars, IA
National Provider Identifier
1811984180
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02722 Issued in IA
Practice address
194 6TH Ave NE
Le Mars, IA 51031-3716
Phone
(712) 546-3670
Fax
(712) 546-3674
NPI assigned
Oct 3, 2005
Last updated
Sep 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02722 IA Primary

Addresses

Primary practice location

194 6TH Ave NE
Le Mars, IA 51031-3716

Mailing address

33733 220TH St
Le Mars, IA 51031-8868
Phone (712) 546-3670

Other identifiers 2

IdentifierTypeStateIssuer
16208OtherIAWELLMARK BC/BS
4073163MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019001032 IA Practitioner - Family Practice 4486670320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02722IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates P.C. Family Medicine CurrentSince Jun 16, 2006 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare Family Medicine CurrentSince Sep 7, 1994 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare CurrentSince Sep 7, 1994 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

Interoperability endpoints

  • Direct secure messaging: paul.parmelee@avera.sdhealthlink.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1811984180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33733 220TH ST",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510318868",
            "telephone_number": "712-546-3670",
            "fax_number": "712-546-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 6TH AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313716",
            "telephone_number": "712-546-3670",
            "fax_number": "712-546-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "PAUL",
        "middle_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "16208",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4073163",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.