DR. BRENT D PARRY (NPI# 1891794004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891794004 |
| Entity Type | Individual |
| Full Name | DR. BRENT D PARRY |
| Credential | DPM |
| Practice Address |
180 S Main St Canton IL 61520-2608 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096496880 |
| Mailing Telephone | 3096470201 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016004894 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004894 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 016004894 | 01 |
| Street Address |
180 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1063976058 | Jessica Lynn Bugos | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2019-01-24 |
| 1366911497 | Rebekah Ridgeway | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-11-19 |
| 1851891071 | Lacey N Mcmahill | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-14 |
| 1205335510 | Cody J. Gibbs | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-02 |
| 1699204750 | Breann Shalene Farr | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2017-06-12 |
| 1609305390 | Karen Hahn | Social Worker | 180 S Main St, Canton, IL 61520-2608 | 2017-06-07 |
| 1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
| 1407201940 | Alyssa Crawford | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520-2608 | 2016-05-03 |
| 1265890685 | Stephanie Barnes | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168195 | Brandon Semma | Podiatrist | 43050 Ford Rd Ste 150, Canton, MI 48187-3359 | 2013-04-10 |
| 1386976744 | Ohio Foot and Ankle Center, LLC | Podiatrist | 4642 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2010-02-09 |
| 1427203413 | Janet H. Baatile-ajrouche | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2008-11-18 |
| 1376616276 | Charles S Yarnevich | Podiatrist | 1548 Fulton Rd Nw, Canton, OH 44703 | 2006-11-16 |
| 1245271493 | Gary M Greger Dpm Inc | Podiatrist | 6227 Frank Ave Nw, Canton, OH 44720-8439 | 2006-06-09 |
| 1972576379 | Holcomb's Foot & Leg Clinic of Cumming | Podiatrist | 210 Oakside Lane, Suite B, Canton, GA 30114 | 2006-02-08 |
| 1598755274 | Steven David Gross | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-25 |
| 1598269714 | Dwayne A Lay LLC | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2018-03-21 |
| 1922527118 | Northeast Ohio Foot and Ankle Specialists LLC | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 | 2017-09-19 |
| 1689076408 | Ann Arbor Limb Salvage Specialists | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2014-09-24 |
| Find all providers in CANTON | ||||
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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.