Basic Information
Provider Information
NPI: 1497773683
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARGAMENT
FirstName: ROBERT
MiddleName: IAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: YORK
State: PA
PostalCode: 174029001
CountryCode: US
TelephoneNumber: 7177418003
FaxNumber: 7174617404
Practice Location
Address1: 25 MONUMENT RD
Address2: SUITE 140
City: YORK
State: PA
PostalCode: 174035060
CountryCode: US
TelephoneNumber: 7177418003
FaxNumber: 7174617404
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 06/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD424170PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
64149401MDCAREFIRST MD BCBSOTHER
10101865705PA MEDICAID
5003605601PACAPITAL BLUE CROSS-WMGOTHER
2003596301PAAMERIHEALTH MERCY-WMGOTHER
312816501PAMAMSI-WMGOTHER
795686501PAAETNAOTHER
10813101PAJOHNS HOPKINSOTHER
15488801PAUNISON-WMGOTHER
10046401PAGEISINGEROTHER
161902601PAHIGHMARK BLUE SHIELDOTHER
P00630901PAGATEWAY-WMGOTHER
229690100001PAAMERIHEALTH 65 PAOTHER


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