Provider Demographics
NPI:1184925786
Name:JEROME M. PARSONS, M.D., P.C.
Entity type:Organization
Organization Name:JEROME M. PARSONS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT (JEROME M. PARSONS, M.D.,
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-484-4607
Mailing Address - Street 1:3105 WESTERN BRANCH BLVD.
Mailing Address - Street 2:COMPLEX ONE SUITE 4A
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321
Mailing Address - Country:US
Mailing Address - Phone:757-484-4607
Mailing Address - Fax:757-484-4703
Practice Address - Street 1:3105 WESTERN BRANCH BLVD.
Practice Address - Street 2:COMPLEX ONE SUITE 4A
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321
Practice Address - Country:US
Practice Address - Phone:757-484-4607
Practice Address - Fax:757-484-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035593207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA070000234Medicare PIN
VAB10073Medicare UPIN