Provider Demographics
NPI:1104821057
Name:PARONISH, WILLIAM J (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:PARONISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-0776
Mailing Address - Country:US
Mailing Address - Phone:814-948-4560
Mailing Address - Fax:814-948-8436
Practice Address - Street 1:1106 BIGLER AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714
Practice Address - Country:US
Practice Address - Phone:814-948-4560
Practice Address - Fax:814-948-8436
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029402E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
171717OtherFEDERAL BLACK LUNG
PA1021536830001Medicaid
PA452988Medicare PIN
B41979Medicare UPIN