Basic Information
| Provider Information | |||||||||
| NPI: | 1215990569 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARSONS | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | V. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 76 CARLON DR | ||||||||
| Address2: | #B | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010602373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135842178 | ||||||||
| FaxNumber: | 4135864233 | ||||||||
| Practice Location | |||||||||
| Address1: | 76 CARLON DR | ||||||||
| Address2: | #B | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010602373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135842178 | ||||||||
| FaxNumber: | 4135864233 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2006 | ||||||||
| LastUpdateDate: | 05/03/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 159626 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 04-3194547 | 01 | MA | UNITED HEALTHCARE | OTHER | 10242901 | 01 | MA | CIGNA | OTHER | 04-3194547 | 01 | MA | NORTHEAST HEALTHCARE ALLI | OTHER | 159626 | 01 | MA | TUFTS | OTHER | 24679 | 01 | MA | HEALTH NEW ENGLAND | OTHER | 04-3194547 | 01 | MA | UNICARE/GIC | OTHER | 04-3194547 | 01 | MA | CONSOLIDATED | OTHER | 04-3194547 | 01 | MA | PHCS | OTHER | 3194655 | 05 | MA | MEDICAID | 04-3194547 | 01 | MA | NORTH AMERICAN PREFERRED | OTHER | 710729 | 01 | MA | HARVARD PILGRIM | OTHER | 04-3194547 | 01 | MA | NORTHEAST HEALTH DIRECT | OTHER | 04-3194547 | 01 | MA | PLAN VISTA | OTHER | 000000008109 | 01 | MA | BMC | OTHER | 04-3194547 | 01 | MA | GREAT-WEST | OTHER | 159626 | 01 | MA | CONNECTICARE | OTHER | 2358604 | 01 | MA | AETNA | OTHER | J21422 | 01 | MA | BCBS MA | OTHER |