Basic Information
| Provider Information | |||||||||
| NPI: | 1770568172 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARSONS | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | FREDERICK | ||||||||
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| Credential: | MD,PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6683 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276286683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197407999 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2131 S 17TH STREET, NEONATOLOGY OFFICE | ||||||||
| Address2: | 1ST FLOOR, BETTY CAMERON CHILDRENS HOSPITAL | ||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106672724 | ||||||||
| FaxNumber: | 9106677390 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2005 | ||||||||
| LastUpdateDate: | 04/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | 2003-000181 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2080N0001X | 56121 | CT | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2080N0001X | 14323 | ND | N | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine | 2080N0001X | 200300181 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 13919 | 01 | BCBS | OTHER | 806761 | 01 | PARTNERS | OTHER | 3810008388 | 05 | WV | MEDICAID | 5901146 | 05 | NC | MEDICAID | 7544746 | 01 | AETNA | OTHER |