Basic Information
Provider Information
NPI: 1821251034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARSONS
FirstName: DEAN
MiddleName: WINSLOW
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5400 FRANTZ RD STE 250
Address2:  
City: DUBLIN
State: OH
PostalCode: 430166102
CountryCode: US
TelephoneNumber: 4195202495
FaxNumber:  
Practice Location
Address1: 6905 HOSPITAL DR STE 130
Address2:  
City: DUBLIN
State: OH
PostalCode: 430169600
CountryCode: US
TelephoneNumber: 6149230300
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2008
LastUpdateDate: 03/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X001001358NCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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