Provider Demographics
NPI:1124002761
Name:PARNELL, STEVEN EDWARD (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:EDWARD
Last Name:PARNELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 CENTER CREEK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-3428
Mailing Address - Country:US
Mailing Address - Phone:507-238-4968
Mailing Address - Fax:
Practice Address - Street 1:1950 CENTER CREEK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-3428
Practice Address - Country:US
Practice Address - Phone:507-238-4968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP29843OtherHEALTH PARTNERS
MN5T428PAMedicaid
IA959528Medicaid
MN166534Medicaid
MN20302OtherSIOUX VALLEY
MN572146OtherARAZ
MN736563200Medicaid
MNMH9041000379OtherPREFERRED ONE
MN01-13055OtherMEDICA
MN4400OtherAVERA
MN5T428PAOtherBLUE CROSS
MNA012OtherCHAMPUS
MNMH9041000379OtherPREFERRED ONE
MN20302OtherSIOUX VALLEY
D48878Medicare UPIN
MN80013636Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MN5T428PAOtherBLUE CROSS