DR. MICHAEL M SIDHOM (NPI# 1235496340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235496340 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL M SIDHOM |
| Credential | M.D., M.S.P.H. |
| Practice Address |
153 Brodhead Rd St. Luke's North - Dept. of Occupational Medicine Bethlehem PA 18017 |
| Practice Telephone | 4845263005 |
| Practice Fax Number | 4845263242 |
| Mailing Telephone | 4845263005 |
| Mailing Fax Number | 4845263242 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD456181 | PA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD456181 | PA | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD456181 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
153 BRODHEAD RD ST. LUKE'S NORTH - DEPT. OF OCCUPATIONAL MEDICINE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809241 | Oscar F Murillo | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2006-02-09 |
| 1124659982 | Emily Mesaris | Occupational Therapist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-30 |
| 1891326815 | Amy Stone Taylor | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-29 |
| 1932730066 | Laurie Lynn Risi | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-28 |
| 1558991885 | Jennifer Suzanne Jones | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-26 |
| 1932739521 | Alexandra Fay Irr | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1790315448 | Mark Daniel Hrycko | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1679112577 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-26 |
| 1093353906 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1659919553 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877234 | Healthstat Health Center Bell & Evans Plant 2 | Preventive Medicine | 2929 Us 22, Fredericksburg, PA 17026 | 2020-10-06 |
| 1154954345 | Healthstat Onsite Clinic Brubacher | Preventive Medicine | 815 Reading Road, Bowmansville, PA 17519 | 2020-02-17 |
| 1336772821 | Healthstat Onsite Clinic Bell & Evans | Preventive Medicine | 2972 State Route 22, Fredericksburg, PA 17026-9354 | 2020-02-13 |
| 1538546494 | Chinyere Nkemdirim Omeogu | Preventive Medicine | 1001 City Ave Unit Ed1029, Wynnewood, PA 19096-3917 | 2015-04-29 |
| 1013267673 | Healthstat Arkansas/pace Ind.- Airo | Preventive Medicine | 1004 Industrial Blvd., Loyalhanna, PA 15661 | 2012-09-11 |
| 1477793347 | Michael P. Kuniak | Preventive Medicine | 814 Pittsburgh-mckeesport Blvd, Bmpc - Bettis Laboratory - Medical Services, West Mifflin, PA 15122 | 2009-03-04 |
| 1114177854 | Carla Jane Huitt | Preventive Medicine | 138 Carey Ln, Gettysburg, PA 17325-8386 | 2008-09-30 |
| 1083896302 | Jeffrey Edware Burtaine | Preventive Medicine | 575 S. 9th Street, Suite 7, Lehighton, PA 18235 | 2007-11-28 |
| 1538352851 | M Reza Raji | Preventive Medicine | 540 Mayer St, Medical Dept., Bridgeville, PA 15017-2709 | 2007-08-21 |
| 1790983633 | Ann E. Kuhnen | Preventive Medicine | 1 Franklin Plz, Fp1605, Philadelphia, PA 19102-1225 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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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.