Active NPI
Todd Alan Parrish, MD
- Orthopaedic Surgery Physician
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J7829
- Practice address
- 203 Nacogdoches St
Suite 150
Jacksonville, TX 75766-2462 - Phone
- (903) 586-6289
- Fax
- (903) 589-0748
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J7829 | TX | Primary |
Addresses
Primary practice location
203 Nacogdoches St
Suite 150
Jacksonville, TX 75766-2462
Mailing address
612 N High St
Suite a
Henderson, TX 75652-5914
Phone (903) 657-1441
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0857690-01 | Other | TX | MCD GROUP |
| CC8386 | Other | TX | RR MCR GROUP |
| 1040350 | Other | TX | BLUE LINK |
| 166974901 | Medicaid | TX | |
| P00199785 | Other | TX | RR MCR |
| 00U762 | Other | TX | MCR GROUP |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040909000470 | TX | Practitioner - Orthopedic Surgery | 4688640733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Practice addresses (Care Compare)
300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536
Hospital & facility affiliations
- Ut Health East Texas Henderson Hospital
- Ut Health East Texas Jacksonville Hospital
- Ut Health East Texas Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 20 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7829 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients |
Locations
340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
612 N High St
#A
Henderson, TX 75652
Phone (903) 594-2497
300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
203 Nacogdoches St
Ste 150
Jacksonville, TX 75766
Phone (903) 586-6289
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418
Interoperability endpoints
- tparrish355763@ahs.direct-ci.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.
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Rural Health Clinic/Center
- Gun Barrel City, TX
- NPI 1689241945
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861491920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N HIGH ST",
"address_2": "SUITE A",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756525914",
"telephone_number": "903-657-1441",
"fax_number": "903-655-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 NACOGDOCHES ST",
"address_2": "SUITE 150",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662462",
"telephone_number": "903-586-6289",
"fax_number": "903-589-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "TODD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J7829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCD GROUP",
"identifier": "0857690-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR GROUP",
"identifier": "CC8386",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK",
"identifier": "1040350",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166974901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00199785",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR GROUP",
"identifier": "00U762",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.