Provider Demographics
NPI:1710367776
Name:PATTON FAMILY MEDICAL CENTER, CHRISTOPHER PARONISH M.D., LLC
Entity Type:Organization
Organization Name:PATTON FAMILY MEDICAL CENTER, CHRISTOPHER PARONISH M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BINE
Authorized Official - Last Name:PARONISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-344-9234
Mailing Address - Street 1:142 EAST CARROLL STREET
Mailing Address - Street 2:
Mailing Address - City:CARROLLTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15722-0597
Mailing Address - Country:US
Mailing Address - Phone:814-344-9234
Mailing Address - Fax:814-344-8760
Practice Address - Street 1:142 EAST CARROLL STREET
Practice Address - Street 2:
Practice Address - City:CARROLLTOWN
Practice Address - State:PA
Practice Address - Zip Code:15722-0597
Practice Address - Country:US
Practice Address - Phone:814-344-9234
Practice Address - Fax:814-344-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F98550Medicare UPIN