Provider Demographics
NPI:1912951435
Name:PARVUS, DIRK F (MD)
Entity type:Individual
Prefix:MR
First Name:DIRK
Middle Name:F
Last Name:PARVUS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 BRIDGE STREET
Mailing Address - Street 2:STE 200
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-1972
Mailing Address - Country:US
Mailing Address - Phone:717-774-8400
Mailing Address - Fax:717-774-8607
Practice Address - Street 1:503 BRIDGE STREET
Practice Address - Street 2:STE 200
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-1972
Practice Address - Country:US
Practice Address - Phone:717-774-8400
Practice Address - Fax:717-774-8607
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040425L207Q00000X
FLME0066484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252500300Medicaid
B38739Medicare UPIN
FL28455BMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL