Provider Demographics
NPI:1194794503
Name:PARSHALL, JAMES WARD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WARD
Last Name:PARSHALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:RUSSELL MORGAN SUITE 412
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239
Mailing Address - Country:US
Mailing Address - Phone:443-444-4720
Mailing Address - Fax:443-444-1221
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:RUSSELL MORGAN SUITE 412
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239
Practice Address - Country:US
Practice Address - Phone:443-444-4720
Practice Address - Fax:443-444-1221
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2016-08-22
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Provider Licenses
StateLicense IDTaxonomies
MDD40008207R00000X, 207RG0300X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F42931Medicare UPIN