WALTER A PARHAM (NPI# 1487646972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487646972 |
| Entity Type | Individual |
| Full Name | WALTER A PARHAM |
| Credential | MD |
| Practice Address |
2 Good Samaritan Way Suite 220 Mount Vernon IL 62864-2408 |
| Practice Telephone | 6188993900 |
| Practice Fax Number | 6188994786 |
| Mailing Telephone | 6188993900 |
| Mailing Fax Number | 6188994786 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036112518 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036112518 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0010032059 | 01 |
| IL | 036112518 | 05 | |
| MO | DEA | BP5943445 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598285009 | Walter O'brian Parham | Pharmacist | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2017-06-26 |
| 1992059760 | Walter Parham | Case Manager/Care Coordinator | 58923 Business Center Dr Ste E, Yucca Valley, CA 92284-7311 | 2012-11-01 |
| Street Address |
2 GOOD SAMARITAN WAY SUITE 220 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718900 | Ssm Health Businesses | Hospice Care, Community Based | 2 Good Samaritan Way, Suite 325, Mount Vernon, IL 62864-2408 | 2005-05-24 |
| 1417573734 | Scherrie Lynn Medina | Registered Nurse | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2020-06-23 |
| 1245711779 | Mary K Mcgarvey | Occupational Therapy Assistant | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2018-08-23 |
| 1831611334 | Patricia Isabel Calcetto | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2017-07-17 |
| 1821548207 | Nicole Vetter | Nurse Practitioner | 2 Good Samaritan Way, Medical Plaza Suite 420, Mount Vernon, IL 62864-2408 | 2016-10-10 |
| 1740654821 | Kathryn Flanigan | Speech-Language Pathologist | 2 Good Samaritan Way, 3rd Floor, Mount Vernon, IL 62864-2408 | 2015-11-30 |
| 1275900656 | Christopher Bourget | Registered Nurse | 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 | 2015-09-01 |
| 1992188338 | Carl Robert Davis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | 2015-07-02 |
| 1871919845 | Michell R Ellis | Pharmacist | 2 Good Samaritan Way, Suite 120, Mount Vernon, IL 62864-2408 | 2014-03-13 |
| 1548685647 | Rebecca Breanne Ritchey | Speech-Language Pathologist | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154577997 | Dariush Alaie, Md PC | Internal Medicine | 12 N 7th Ave Fl 6, Mount Vernon, NY 10550-2026 | 2008-08-12 |
| 1275692238 | Mohammed Haseeb | Internal Medicine | 4204 Williamson Pl, Mount Vernon, IL 62864-6705 | 2006-12-06 |
| 1346285236 | Pacific Northwest Cardiology Inc Ps | Internal Medicine | 307 S 13th Avenue, Mount Vernon, WA 98274 | 2006-06-17 |
| 1467497321 | Duncan T. Landreth | Internal Medicine | 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274-4109 | 2006-06-17 |
| 1790738532 | Sanjeev Vaderah | Internal Medicine | 307 S. 13th St., Suite 300, Skagit Regional Clinics-cardiology, Mount Vernon, WA 98274 | 2006-05-19 |
| 1235128653 | John Stanley Crie | Internal Medicine | 307 S 13th St Ste 300, Suite 300, Mount Vernon, WA 98274-4109 | 2005-10-18 |
| 1184974321 | Dariush Alaie, Md PC | Internal Medicine | 12 N 7th Ave, 6th Floor, Mount Vernon, NY 10550-2026 | 2012-09-14 |
| 1538435615 | Western Washington Cardiology Trust | Internal Medicine | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 | 2012-03-22 |
| 1952605586 | Cardiology Consultants of Westchester, PC | Internal Medicine | 105 Stevens Ave, Suite 101, Mount Vernon, NY 10550-2686 | 2010-12-22 |
| 1801025812 | Bhrigu R. Parmar | Internal Medicine | 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 | 2009-07-11 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on WALTER A PARHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.