C GERARD PETERSEN


Address: 1250 S Cedar Crest Blvd, Suite 205, Allentown, PA 18103-6224
Phone: 6104398856

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD073487L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA CAPITAL BLUE CROSS 50059765 01

Office Location

Street Address 1250 S CEDAR CREST BLVD
SUITE 205
City ALLENTOWN
State PA
Zip Code 18103-6224

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in ALLENTOWN

Competitor

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City ALLENTOWN
Zip Code 18103

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Dataset Information

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.

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