NPIMap

Organization Active NPI

Patton Family Medical Center, Christopher Paronish MD, LLC

  • Non-Pharmacy Dispensing Site
  • Carrolltown, PA
National Provider Identifier
1952651986
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD056268L Issued in PA
Legal business name
PATTON FAMILY MEDICAL CENTER, CHRISTOPHER PARONISH MD, LLC
Practice address
142 E Carroll St
Carrolltown, PA 15722
Phone
(814) 344-9234
NPI assigned
Sep 18, 2012
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenny Heine
Title
VP of Operations
Phone
(858) 964-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD056268L PA Primary

Addresses

Primary practice location

142 E Carroll St
Carrolltown, PA 15722

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • Patton Family Medical Center, Christopher Paronish MD, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patton Family Medical Center2 organizations share this tax ID, including this one
Part of
Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1952651986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E CARROLL ST",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "15722",
            "telephone_number": "814-344-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON FAMILY MEDICAL CENTER, CHRISTOPHER PARONISH MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2012-09-18",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD056268L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patton Family Medical Center, Christopher Paronish MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrolltown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.