PETER J ISAAC DO LLC (NPI# 1528049830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049830 |
| Entity Type | Organization |
| Organization Name | PETER J ISAAC DO LLC |
| Practice Address |
1605 N Cedar Crest Blvd Suite 609 Allentown PA 18104-2351 |
| Practice Telephone | 6108205703 |
| Practice Fax Number | 6104335660 |
| Mailing Telephone | 6108205703 |
| Mailing Fax Number | 6104335660 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | DR. PETER J ISAAC (PRESIDENT) |
| Authorized Official Telephone | 6108205703 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012579850004 | 05 | |
| AMERIHEALTH MERCY | 20033447 | 01 | |
| RR MEDICARE | DB9519 | 01 | |
| CBC | 50036424 | 01 | |
| HIGHMARK BLUE SHIELD | 1615553 | 01 | |
| IBC | 2294393000 | 01 |
| Street Address |
1605 N CEDAR CREST BLVD SUITE 609 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017159 | Howard Aaron Israel | Allergy & Immunology | 1605 N Cedar Crest Blvd, Suite 605, Allentown, PA 18104-2351 | 2005-07-20 |
| 1083262075 | Clive Alun Williams | Registered Nurse | 1605 N Cedar Crest Blvd, Allentown, PA 18104-2351 | 2019-09-03 |
| 1548700693 | Leslie Dunkelberger | Nurse Practitioner | 1605 N Cedar Crest Blvd, Ste 110b, Allentown, PA 18104-2351 | 2017-03-07 |
| 1407302060 | Rachel Brooke Fulmer | Physician Assistant | 1605 N Cedar Crest Blvd, Allentown, PA 18104 | 2016-09-01 |
| 1225421878 | Horizon House, Inc. | Community/Behavioral Health | 1605 N Cedar Crest Blvd, Suite 105, Allentown, PA 18104-2351 | 2015-03-06 |
| 1801207584 | Pyramid Healthcare Inc | Clinic/Center | 1605 N Cedar Crest Blvd, Roma Corporate Center, Allentown, PA 18104-2351 | 2014-05-15 |
| 1649518549 | Linda Ann Peddigree | Nurse Practitioner | 1605 N Cedar Crest Blvd, Ste. 110b, Allentown, PA 18104-2351 | 2013-01-28 |
| 1912215401 | David Kneal Jr. | Dentist | 1605 N Cedar Crest Blvd, Suite 409, Allentown, PA 18104-2323 | 2010-09-17 |
| 1689907594 | Michael W. Mcinerney | Counselor | 1605 N Cedar Crest Blvd, Allentown, PA 18104-2351 | 2009-09-09 |
| 1811128390 | Lehigh Geriatrics Associates LLC | Family Medicine | 1605 N Cedar Crest Blvd, Suite 110b, Allentown, PA 18104-2351 | 2009-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619266996 | Christopher Robert Simon Werter | Surgery | 1259 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6206 | 2011-04-07 |
| 1568443869 | Peter J Isaac | Surgery | 1275 S Cedar Crest Blvd Ste 2, Allentown, PA 18103-6207 | 2005-11-14 |
| 1205197902 | Lehigh Valley Physician Group | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2012-05-30 |
| 1629207352 | Mila Ju | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2009-07-01 |
| 1295850162 | James L Guzzo | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-03-20 |
| 1306985387 | Bengt Ivarsson | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-02-06 |
| 1760432553 | Peripheral Vascular Surgeons, PC | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2006-05-11 |
| 1730160029 | Mahmood Tahir | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1033190335 | Mahmood Tahir Md | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1497755128 | Victor J Celani | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2005-07-22 |
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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.