Provider Demographics
NPI:1104813765
Name:PARISI, RICHARD A (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:PARISI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:860 OMNI BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:5424 DISCOVERY PARK BLVD
Practice Address - Street 2:204
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:757-707-3999
Practice Address - Fax:757-707-3993
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101840565207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA23247OtherSENTARA
VA124025OtherSOUTHERN HEALTH
VA5828538Medicaid
VA000026211OtherCIGNA
VA0004643862OtherAETNA-NONHMO
VA2191626OtherAETNA-HMO
VA208790OtherANTHEM-GLENSIDE
VA48-00265OtherUNITED HEALTHCARE
VA50479OtherCARENET
VA290012067OtherMEDICARE-RAILROAD
VA208789OtherANTHEM-COLHEIGHTS
VA271513OtherMAMSI/ALLIANCE
VA271513OtherMAMSI/ALLIANCE
VA290000238Medicare ID - Type Unspecified