MEDICARE: DR. WILLIAM J PARONISH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD029402E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	171717	OTHER		FEDERAL BLACK LUNG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104821057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM J PARONISH MD

Provider Business Mailing Address
First Line	:	PO BOX 776
Second Line	:
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-0776
Country	:	US
Telephone Number	:	814-948-4560
Fax Number	:	814-948-8436

Provider Business Practice Location Address
First Line	:	1106 BIGLER AVE
Second Line	:	SUITE #2
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714
Country	:	US
Telephone Number	:	814-948-4560
Fax Number	:	814-948-8436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/04/2021

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