JACOB ALAN TROUTMAN (NPI# 1538301890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538301890 |
Entity Type | Individual |
Full Name | JACOB ALAN TROUTMAN |
Credential | D.O. |
Practice Address |
1210 S Cedar Crest Blvd Ste 1000 Allentown PA 18103 |
Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
Practice Telephone | 6104021026 |
Practice Fax Number | 6104022499 |
Mailing Telephone | 4848844500 |
Mailing Fax Number | 4848840699 |
Enumeration Date | 2009-04-01 |
Last Update Date | 2019-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
OS017648 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1210 S Cedar Crest Blvd Ste 1000, Allentown, PA 18103 | 6104021026 | 6104022499 |
Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 178220001 | 5702716211 |
Street Address |
1210 S CEDAR CREST BLVD STE 1000 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103 |
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 | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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 |
---|---|---|---|---|
1124289079 | Felipe S Bautista Otanez | Pediatrics | 1250 S Cedar Crest Blvd Ste 1000, Allentown, PA 18103-6224 | 2008-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184699 | Arthur Samuel Levine | Pediatrics | 433 Coventry Rd, Pittsburgh, PA 15213-1803 | 2020-11-06 |
1043790967 | Karen Diane Weiss | Pediatrics | 733 Church Rd, Hatfield, PA 19440-1010 | 2018-08-20 |
1356668503 | Sarah Ann Richman | Pediatrics | 3501 Civic Center Blvd, Ctrb 4020, Philadelphia, PA 19104-3820 | 2010-04-28 |
1063628741 | Edwin Crews Douglass | Pediatrics | 5 Develon Rd, Melrose Park, PA 19027-3154 | 2007-05-16 |
1326154055 | Scott J Diede | Pediatrics | 351 N Sumneytown Pike, Mail Stop Ug4d-72, North Wales, PA 19454-2505 | 2006-08-23 |
1720052368 | J. Nathan Hagstrom | Pediatrics | 2545 Shoenersville Road, 3rd Floor, Bethlehem, PA 18017 | 2006-02-13 |
1396741286 | Garrett Edward Bergman | Pediatrics | 9 Shirley Rd, Narberth, PA 19072-2015 | 2005-06-24 |
1477182947 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2020-04-06 |
1679112577 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-26 |
1063050680 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-12-13 |
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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.