C GERARD PETERSEN (NPI# 1285684183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684183 |
| Entity Type | Individual |
| Full Name | C GERARD PETERSEN |
| Credential | MD |
| Practice Address |
1250 S Cedar Crest Blvd Suite 205 Allentown PA 18103-6224 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104398856 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD073487L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50059765 | 01 |
| Street Address |
1250 S CEDAR CREST BLVD SUITE 205 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558062 | Sarah Dolcemascolo | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2005-06-20 |
| 1336782127 | Bella Hearing Systems | Hearing Instrument Specialist | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-10-24 |
| 1942768619 | Allyson Buckshaw | Nurse Practitioner | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-03-12 |
| 1992285712 | Matthew J Cummings | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6224 | 2018-08-21 |
| 1841707866 | Tamara Callender | Nurse Practitioner | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-12-30 |
| 1144730227 | Michelle Lynn Gessner | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-10-03 |
| 1104362649 | Matthew Shaw | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2017-01-09 |
| 1699227314 | Connor Prince | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-10-28 |
| 1649729070 | Sarah Connors | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 215, Allentown, PA 18103-6224 | 2016-09-27 |
| 1285183715 | Samantha Schramak | Physician Assistant | 1250 S Cedar Crest Blvd, #400, Allentown, PA 18103-6224 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689551 | Nicholas Joel Hinds | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2013-06-20 |
| 1568724946 | Scott Frederick Michael Blumhof | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2012-06-12 |
| 1861753568 | Lehigh Valley Physician Group | Internal Medicine | 1250 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103-6224 | 2012-05-30 |
| 1134487200 | Brian Robert Miller | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2012-04-26 |
| 1720352016 | Andres Zirlinger | Internal Medicine | 1250 S Cedar Crest Blvd, Ste 205, Allentown, PA 18103-6224 | 2012-03-04 |
| 1548280118 | Jay B Lipschutz | Internal Medicine | 3110 Hamilton Blvd, Allentown, PA 18103-3630 | 2006-07-19 |
| 1033166863 | Pulmonary & Critical Medicine Group, PC | Internal Medicine | 1540 E Race St, Lower Level, Rear, Allentown, PA 18109-9587 | 2006-05-27 |
| 1245209022 | Pulmonary Associates PC | Internal Medicine | 1250 S Cedar Crest Blvd, Ste 205, Allentown, PA 18103-6224 | 2006-03-15 |
| 1033182324 | Jonathan Hertz | Internal Medicine | 1250 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103-6224 | 2006-02-08 |
| 1245202019 | Joseph E Vincent | Internal Medicine | 1250 S Cedar Crest Blvd, Ste 205, Allentown, PA 18103-6224 | 2006-02-06 |
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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.