DR. KELLY M WANAMAKER (NPI# 1578713939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578713939 |
Entity Type | Individual |
Full Name | DR. KELLY M WANAMAKER |
Credential | M.D. |
Practice Address |
1250 S Cedar Crest Blvd Ste 310 Allentown PA 18103-6381 |
Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
Practice Telephone | 6104026890 |
Practice Fax Number | 6104026892 |
Mailing Telephone | (484) 884-4500 |
Mailing Fax Number | 4848840699 |
Enumeration Date | 2008-09-23 |
Last Update Date | 2017-05-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MT192652 | PA | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD442855 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679760136 | Kelly R Wanamaker | Massage Therapist | 17651 1st Ave S, Ste 101, Normandy Park, WA 98148-2715 | 2007-09-28 |
Street Address |
1250 S CEDAR CREST BLVD STE 310 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103-6381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053305581 | Laszlo Fuzesi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2005-09-12 |
1992334239 | Beth Sinkovits | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2020-04-08 |
1710540901 | Shannon Zoldy | Physician Assistant | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2019-04-15 |
1194200261 | Katlin A Aunkst | Physician Assistant | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2018-09-25 |
1083128417 | Ian Charles Chapman | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2017-11-21 |
1285064154 | Kelly Cemelli | Physician Assistant | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2013-11-13 |
1730511692 | Kathryn E. Segall | Physician Assistant | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2013-08-02 |
1710242557 | Kristen M Piazza | Physician Assistant | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2012-07-09 |
1922329622 | Ahmed Ramadan Nassar | Surgery | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2010-06-16 |
1942240619 | Richard S. Chang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2006-06-08 |
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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 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053305581 | Laszlo Fuzesi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2005-09-12 |
1801889944 | David A Gordon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1493 Wethersfield Dr, Allentown, PA 18104-1945 | 2005-08-24 |
1790012581 | Lehigh Valley Physician Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2009-11-16 |
1932281664 | Vincent E Lotano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2006-10-20 |
1942240619 | Richard S. Chang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2006-06-08 |
1710938725 | Theodore George Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2006-05-15 |
1427009356 | James K Wu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2006-05-15 |
1407807456 | Raymond L Singer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2006-05-15 |
1932159688 | Specialty Physicians of Lvhn PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1240 S Cedar Crest Blvd, Suite 403, Allentown, PA 18103-6218 | 2006-05-12 |
1578526158 | Jeffrey Scott Veluz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2006-04-06 |
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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.