PHILLIP V PARRY SR. (NPI# 1770715559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770715559 |
| Entity Type | Individual |
| Full Name | PHILLIP V PARRY SR. |
| Credential | MD |
| Practice Address |
61 Whitcher St Ne Ste 3110 Marietta GA 30060 |
| Mailing Address |
61 Whitcher St Ne Ste 3110 Marietta GA 30060-1179 |
| Practice Telephone | 7704222326 |
| Practice Fax Number | 7704227797 |
| Mailing Telephone | 7704222326 |
| Mailing Fax Number | 7704227797 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 79620 | GA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 108344 | MN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | A137553 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT193737 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | A137553 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 B Gale Wilson Blvd, Fairfield, CA 945333552 | 7076465000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831134642 | Phillip Bradley Parry | Specialist/Technologist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2006-06-17 |
| Street Address |
61 WHITCHER ST NE STE 3110 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035307 | Adam Wesley Bomar | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2019-07-23 |
| 1598249211 | Sarah Turner Blackstock | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-09-18 |
| 1013490069 | Erin Alexandra Oweida | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-09-14 |
| 1760981104 | Ryan Paul Johnson | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-02-12 |
| 1205355427 | Amanda Y Pellerito | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2017-09-19 |
| 1700242773 | Erika Leigh Rademacher | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2016-01-06 |
| 1265813851 | Katrina Joyce | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2015-06-09 |
| 1598150195 | Kirby Bandoquillo | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2015-03-31 |
| 1427300193 | Derek Ladon Baker | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2012-10-05 |
| 1932411238 | Amber Aubert Torres | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2010-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1356570287 | Michail Vasilakis | Neurological Surgery | 400 Matthew St Ste 101, Marietta, OH 45750-1656 | 2009-07-13 |
| 1467477463 | Said Elshihabi | Neurological Surgery | 718 Cherokee St Ne, Marietta, GA 30060-7253 | 2006-07-12 |
| 1871579235 | Tariq Javed | Neurological Surgery | 631 Campbell Hill St Nw, 100, Marietta, GA 30060 | 2005-12-19 |
| 1497274930 | Deven Reddy | Neurological Surgery | 400 Matthew St Ste 101, Marietta, OH 45750-1656 | 2017-09-15 |
| 1033632419 | Legacy Brain & Spine LLC | Neurological Surgery | 718 Cherokee St Ne, Marietta, GA 30060-7253 | 2017-07-18 |
| 1487064341 | Li Liu | Neurological Surgery | 780 Canton Rd Ne Ste 400, Marietta, GA 30060-7298 | 2014-04-30 |
| 1760775738 | Wellstar Medical Group, LLC | Neurological Surgery | 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 | 2011-05-24 |
| 1760798458 | Wellstar Neurosurgery Services, LLC Dba Wellstar Neurosurgery | Neurological Surgery | 61 Whitcher Street, Suite 3110, Marietta, GA 30060 | 2010-08-19 |
| 1942521968 | Jui-en Edward Hsu | Neurological Surgery | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2010-06-14 |
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| 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.