STC PEDIATRICS LLC (NPI# 1316581788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316581788 |
Entity Type | Organization |
Organization Name | STC PEDIATRICS LLC |
Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES PULMONARY & ALLERGY - BRODHEAD |
Practice Address |
153 Brodhead Rd Bethlehem PA 18017-8931 |
Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
Practice Telephone | 4845264975 |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-12-16 |
Authorized Official Name | GARY CONNER (VP & CFO) |
Authorized Official Telephone | 4846288181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Christopher's Pediatric Associates Pulmonary & Allergy - Brodhead | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
Street Address |
153 BRODHEAD RD |
City | BETHLEHEM |
State | PA |
Zip Code | 18017-8931 |
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 |
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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 | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386294924 | St. Luke's Physician Group, Inc. | Pediatrics | 2571 Baglyos Cir Ste B29, Bethlehem, PA 18020-8050 | 2019-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386082014 | Lauren Irene Greenawald | Pediatrics | 1210 S Cedar Crest Blvd Ste 2700, Allentown, PA 18103 | 2013-06-04 |
1831736180 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2019-12-05 |
1295379295 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
1881238251 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
1225560832 | Jon Maniaci | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2017-04-02 |
1619339199 | Lance Matthew Feld | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2016-03-24 |
1437511128 | Stephen David Franklin | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2016-03-22 |
1851788376 | Brandy Johnson | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2015-04-22 |
1831583483 | Ambika Gnanam Chidambaram | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2015-03-21 |
1083032601 | Courtney Quinlan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-04-01 |
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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.