WALLIE MARTINEZ-VEGA (NPI# 1568086908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568086908 |
| Entity Type | Individual |
| Full Name | WALLIE MARTINEZ-VEGA |
| Credential | DO |
| Practice Address |
218 N 2nd St Allentown PA 18102-3508 |
| Practice Telephone | 6108418400 |
| Mailing Telephone | 6108418400 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OT020274 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
218 N 2ND ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807524 | Jazmine Irizarry | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102-3508 | 2020-10-06 |
| 1548811854 | Lotus Health Services | Psychiatry & Neurology | 218 N 2nd St, Allentown, PA 18102-3508 | 2019-09-27 |
| 1700445566 | Mackenzi Kim | Family Medicine | 218 N 2nd St, Allentown, PA 18102-3508 | 2019-06-06 |
| 1235697657 | Gessenia Becker | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102-3508 | 2019-03-05 |
| 1932656568 | Megan Galanek | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102 | 2016-09-01 |
| 1124474804 | Catherine Obando | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102-3508 | 2016-05-11 |
| 1205248572 | Dawn M Liberto | Midwife | 218 N 2nd St, Allentown, PA 18102-3508 | 2014-05-21 |
| 1669803490 | Adelaide Cassel | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102-3508 | 2013-12-04 |
| 1871932947 | Jocelyn Amaya | Family Medicine | 218 N 2nd St, Allentown, PA 18102-3508 | 2013-06-21 |
| 1568806677 | Cynthia Ann Reddy | Nurse Practitioner | 218 N 2nd St, Allentown, PA 18102-3508 | 2013-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525247 | Lehigh Valley Physician Group | Family Medicine | 1275 S Cedar Crest Blvd Ste 5, Allentown, PA 18103-6207 | 2020-07-13 |
| 1770141277 | Nancy Anastasia Bobrysh | Family Medicine | 1247 S Cedar Crest Blvd Ste 200, Allentown, PA 18103-6347 | 2019-05-31 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1538697206 | Natalia Lapko | Family Medicine | 450 Chew St Ste 101, Allentown, PA 18102-3434 | 2017-05-25 |
| 1629516547 | Willy Gonzalez | Family Medicine | 1730 Chew Street, Allentown, PA 18104-5595 | 2017-02-11 |
| 1396192787 | Mahim Shuja | Family Medicine | 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 | 2016-05-16 |
| 1710347638 | Fairmont Medical Center, LLC | Family Medicine | 1720 W Fairmont St, Allentown, PA 18104-3118 | 2016-03-04 |
| 1073997961 | Kristen Kingry | Family Medicine | 1251 S Cedar Crest Blvd Ste 102a, Allentown, PA 18103-6205 | 2015-07-10 |
| Find all providers in ALLENTOWN | ||||
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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.