DR. KEVIN SHORT (NPI# 1053673897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053673897 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SHORT |
| Credential | D.P.M |
| Practice Address |
2414 Walbert Ave Allentown PA 18104-1326 |
| Practice Telephone | 6104347000 |
| Practice Fax Number | 6104347029 |
| Mailing Telephone | 6104347000 |
| Mailing Fax Number | 6104347029 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006625 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962620807 | Kevin P Short | Preventive Medicine | 1817 I Ave, New Castle, IN 47362-2611 | 2007-04-24 |
| 1093132698 | Kevin Short | Social Worker | 5023 E 56th St, 110, Indianapolis, IN 46226-1474 | 2014-03-21 |
| 1306930607 | Kevin Sean Short | Dentist | 1200 Bald Ridge Marina Rd, Suite 200, Cumming, GA 30041-8494 | 2006-10-03 |
| 1881655843 | Kevin A Short | Radiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-03-30 |
| Street Address |
2414 WALBERT AVE |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891770483 | Allentown Family Foot Care Professional Corporation | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2005-12-07 |
| 1770010514 | Justin Guiliana | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2017-05-11 |
| 1679986335 | Ashley Melissa Quinlan | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2014-06-10 |
| 1235114331 | Lora Baker | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2005-12-12 |
| 1881679983 | Raymond A Fritz Jr. | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203656 | Adam Jay Teichman | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2005-08-30 |
| 1568002640 | R T Equity Holdings LLC | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2020-01-07 |
| 1669036661 | Ruben Nunez | Podiatrist | 1736 Hamilton St, Allentown, PA 18104-5656 | 2019-04-24 |
| 1770010514 | Justin Guiliana | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2017-05-11 |
| 1790180883 | Lehigh Valley Physician Group | Podiatrist | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2014-10-31 |
| 1104231984 | Melody Sue Stouder | Podiatrist | 1736 Hamilton St, Allentown, PA 18104-5656 | 2014-06-30 |
| 1679986335 | Ashley Melissa Quinlan | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2014-06-10 |
| 1578903555 | Elliot Lawrence Busch | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2013-07-05 |
| 1366705238 | Simon George Tabchi | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2012-06-16 |
| 1689802332 | Jeremy S Tilton | Podiatrist | 1736 W Hamilton St, Allentown, PA 18104-5656 | 2009-07-01 |
| Find all providers in ALLENTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.