Organization Active NPI

John R. Parnell M.D., P.a.

  • Legal Medicine
  • Daytona Beach, FL
National Provider Identifier
1982925228
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME11290 Issued in FL
Legal business name
JOHN R. PARNELL M.D., P.A.
Practice address
647 Orange Ave.
Ste a
Daytona Beach, FL 32114
Phone
(386) 252-5501
Fax
(386) 258-8483
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mr. Jason C. Parnell
Title
Busness MGR
Phone
(386) 252-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X ME11290 FL Primary

Addresses

Primary practice location

647 Orange Ave.
Ste a
Daytona Beach, FL 32114

Mailing address

647 Orange Ave.
Ste a
Daytona Beach, FL 32114
Phone (386) 252-5501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728002822 FL Part B Supplier - Clinic/Group Practice 7719019827 Receives reassigned benefits from 2 practitioners
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

647 Orange Ave
Ste A
Daytona Beach, FL 32114
Phone (386) 252-5501

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": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1982925228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 ORANGE AVE.",
            "address_2": "STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-252-5501",
            "fax_number": "386-258-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 ORANGE AVE.",
            "address_2": "STE A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-252-5501",
            "fax_number": "386-258-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. PARNELL M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "BUSNESS MGR",
        "authorized_official_telephone_number": "386-252-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME11290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.