Stephen Robert Paranich, DC
Individual provider Active NPI Chiropractor · Old Forge, PA
NPI 1093784076 · NPPES record last updated Nov 17, 2009
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Oct 19, 2017.
- Section 1128a(1) exclusion effective Apr 18, 2013.
Key facts
- NPI
- 1093784076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC004862L (PA)
- Practice address
- 102 N Main St
Old Forge, PA 18518 - Phone
- (570) 451-1122
- Fax
- (570) 451-0541
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004862L | PA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004862L | PA | Yes |
Addresses
Primary practice location
102 N Main St
Old Forge, PA 18518
Mailing address
102 N Main St
Old Forge, PA 18518
Phone (570) 451-1122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1263525 | Medicaid | PA | |
| 695918 | Other | PA | BLUE CROSS BLUE SHIELD |
| 2513389 | Other | PA | AETNA |
| 805039 | Other | PA | 1ST PRIORITY |
Other providers in Old Forge, PA
- Old Forge Ambulance & Rescue Association
- Old Forge Chiropractic & Rehabilitation, P.C.
- Old Forge School District
- Old Forge Wellness LLC
- Sharon Palushock
- Lisa Ann Pastore
- Peace of Mind, Nepa, LLC
- Nicholas E Pecuch
- Pennsylvania CVS Pharmacy, L.L.C.
- Physical Therapy Associates of Northeast Pennsylvania Inc
All providers in Old Forge, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.