Provider Demographics
NPI:1528445327
Name:NORTHERN CAMBRIA MEDICAL CENTER - WILLIAM PARONISH MD INC
Entity type:Organization
Organization Name:NORTHERN CAMBRIA MEDICAL CENTER - WILLIAM PARONISH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARONISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-788-8007
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:1106 BIGLER AVENUE
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-0776
Mailing Address - Country:US
Mailing Address - Phone:814-948-4550
Mailing Address - Fax:814-948-8436
Practice Address - Street 1:1106 BIGLER AVENUE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-0776
Practice Address - Country:US
Practice Address - Phone:814-948-4550
Practice Address - Fax:814-948-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty