Provider Demographics
NPI:1285705657
Name:PARR ORTHOPAEDICS PSC
Entity type:Organization
Organization Name:PARR ORTHOPAEDICS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:PARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-253-9200
Mailing Address - Street 1:125 E MAXWELL STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508
Mailing Address - Country:US
Mailing Address - Phone:859-253-9200
Mailing Address - Fax:859-253-9966
Practice Address - Street 1:125 E MAXWELL STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508
Practice Address - Country:US
Practice Address - Phone:859-253-9200
Practice Address - Fax:859-253-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25519207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2719Medicare PIN
C73249Medicare UPIN