Provider Demographics
NPI:1528173606
Name:PARANICAS, JAMIE D (MD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:D
Last Name:PARANICAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1249 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6259
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-776-6645
Practice Address - Street 1:1249 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6259
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-776-6645
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034764E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011373880005Medicaid
PA529921KVJMedicare ID - Type Unspecified
PA0011373880005Medicaid