DIMITRY MIKHAYLOVICH PETRENKO (NPI# 1518499946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518499946 |
Entity Type | Individual |
Full Name | DIMITRY MIKHAYLOVICH PETRENKO |
Credential | DO |
Practice Address |
1250 S Cedar Crest Blvd Ste 205 Allentown PA 18103-6271 |
Mailing Address |
2701 Dekalb Pike Norristown PA 19401-1820 |
Practice Telephone | 6104029116 |
Practice Fax Number | 6104029610 |
Mailing Telephone | 6102782003 |
Mailing Fax Number | 6102782832 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2020-06-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1250 S CEDAR CREST BLVD STE 205 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103-6271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194873356 | Nirupama Kakumanu | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2007-01-06 |
1861906570 | Kristin Scrbacic | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2017-11-17 |
1033622816 | Michelle Adams | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2017-11-15 |
1477099455 | Melissa Harris-perotti | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2017-01-13 |
1184074338 | Christopher Lenivy | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2016-06-20 |
1518314913 | Kaitlyn Sarah Musco | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2016-05-16 |
1053712083 | Sarah M Ginder | Physician Assistant | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 | 2014-09-09 |
1346689551 | Nicholas Joel Hinds | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2013-06-20 |
1073958419 | Roberto Stefan Fratamico | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2013-04-29 |
1568724946 | Scott Frederick Michael Blumhof | Internal Medicine | 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 | 2012-06-12 |
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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 | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750903472 | Larissa Nunez | Student in an Organized Health Care Education/Training Program | 391 Auburn St Apt 320, Allentown, PA 18103-3549 | 2020-05-15 |
1548799398 | Chelsea Christine Giagni | Student in an Organized Health Care Education/Training Program | 707 Hamilton St Fl 8, Allentown, PA 18101-2407 | 2017-06-06 |
1932571171 | Sean Remaley | Student in an Organized Health Care Education/Training Program | 2735 Diane Blvd, Allentown, PA 18109-3060 | 2015-10-27 |
1790806180 | Tamika Green | Student in an Organized Health Care Education/Training Program | 203 E Susquehanna St, Allentown, PA 18103-5139 | 2007-04-03 |
1922611185 | Tsneem Hamed Salem Mbydeen | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-27 |
1881212918 | Cleo Zarina Alejo Reyes | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-07-06 |
1972128049 | Jordan Benner Miller | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-14 |
1205451481 | Rachael Janet Murphy | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-12 |
1679197578 | Eugene Han Dao | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-05 |
1861016081 | Saloni Goyal | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-03 |
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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.