# MICHAEL J PARIS, DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558738799
- **Authorized official:** DR. MICHAEL J PARIS DPM (PHYSICIAN OWNER)
- **Authorized official phone:** (717) 632-5264

## Contact information

- **Practice address:** 250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
- **Practice address phone:** (717) 632-5264
- **Practice address fax:** (717) 632-1165
- **Mailing address:** 250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
- **Mailing address phone:** (717) 632-5264
- **Mailing address fax:** (717) 632-1165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004734L | PA | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1467348 | AMERIHEALTH ADMINISTRATOR | PA |
| 01 | — | 2113979 | ALLIANCE | MD |
| 01 | — | 50038811 | CAPITAL BLUE CROSS | PA |
| 01 | — | 62019601 | BLUE CROSS/ BLUE SHIELD MD | MD |