ALC OF LEHIGH VALLEY INC (NPI# 1609898584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609898584 |
| Entity Type | Organization |
| Organization Name | ALC OF LEHIGH VALLEY INC |
| Other Organization Name | AZANI MEDICAL SPA |
| Practice Address |
3101 Emrick Blvd Suite #201 Bethlehem PA 18020-8037 |
| Mailing Address |
3067 Jordan Rd Orefield PA 18069-2261 |
| Practice Telephone | 6106253000 |
| Practice Fax Number | 6106253003 |
| Mailing Telephone | 6106253000 |
| Mailing Fax Number | 6106253003 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-05-29 |
| Authorized Official Name | DR. MONICA CECILIA GAVIN (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6105300151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD061743L | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Azani Medical Spa | Doing Business As Name - Organization |
| Street Address |
3101 EMRICK BLVD SUITE #201 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747952 | Sherry L Neff-hulbert | Registered Nurse | 3101 Emrick Blvd, Suite 211, Bethlehem, PA 18020-8037 | 2005-08-12 |
| 1487055430 | Allergy Partners, Pa | Allergy & Immunology | 3101 Emrick Blvd, Bethlehem, PA 18020-8037 | 2014-09-09 |
| 1851529093 | Michael James Carnathan | Family Medicine | 3101 Emrick Blvd, Suite 112, Bethlehem, PA 18020-8037 | 2009-06-25 |
| 1508004565 | Alianna Hale | Specialist/Technologist | 3101 Emrick Blvd, Suite 112, Bethlehem, PA 18020-8037 | 2009-01-29 |
| 1629215546 | Brandon Bushnell | Specialist/Technologist | 3101 Emrick Blvd, 112, Bethlehem, PA 18020-8037 | 2009-01-14 |
| 1972740801 | Melissa Shull | Specialist/Technologist | 3101 Emrick Blvd, Suite 112, Bethlehem, PA 18020-8037 | 2009-01-14 |
| 1497908206 | Valley Perinatal Associates, PC | Obstetrics & Gynecology | 3101 Emrick Blvd, Suite 209, Bethlehem, PA 18020-8037 | 2008-10-24 |
| 1396929295 | Maria Elina Lamothe | Internal Medicine | 3101 Emrick Blvd, Suite 112, Bethlehem, PA 18020-8037 | 2007-12-27 |
| 1235310004 | Hanh-dung Tran Som | Family Medicine | 3101 Emrick Blvd, Suite 112, Bethlehem, PA 18020-8037 | 2007-11-20 |
| 1124186887 | Eric J. Schenkel,m.d. PC | Allergy & Immunology | 3101 Emrick Blvd, Suite211, Bethlehem, PA 18020-8037 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1235636184 | Jennifer M. Casper | General Practice | 1760 Friedensville Rd, Bethlehem, PA 18015-5023 | 2018-04-08 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1902076821 | Andrew Dattila | General Practice | 11 W 2nd St, Riverport#135, Bethlehem, PA 18015-1282 | 2008-03-06 |
| 1184756595 | St. Luke's Hospital | General Practice | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2007-03-12 |
| 1558465864 | Susan Comer Kitei | General Practice | 36 University Dr, Bethlehem, PA 18015-3061 | 2006-09-08 |
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| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
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| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
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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.