DR. EDWARD JOHN HABERERN (NPI# 1659358034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659358034 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JOHN HABERERN |
| Credential | M.D. |
| Practice Address |
4205 Lehigh St Whitehall PA 18052-1424 |
| Practice Telephone | 6102627781 |
| Practice Fax Number | 6102627781 |
| Mailing Telephone | 6102627781 |
| Mailing Fax Number | 6102627781 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD027730-L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4205 LEHIGH ST |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1255824314 | Kenneth C Fulton-resig | Counselor | 4772 Main Street, Whitehall, PA 18052 | 2018-06-12 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| Find all providers in zip 18052 | ||||
| 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 |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1851842819 | Josalyn Winnie-larie Boyles | Family Medicine | 2741 Macarthur Rd, Whitehall, PA 18052-3632 | 2016-10-14 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1770502932 | Health Care Associates, P.C. | Family Medicine | 5507 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-19 |
| 1104850734 | Narien K Grover | Family Medicine | 1401 Fairmont St, Whitehall, PA 18052-6051 | 2006-07-10 |
| 1508895186 | Louis Spikol | Family Medicine | 5505 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-03 |
| 1346238433 | Max Linus Crossman | Family Medicine | 65 Poultney St, Whitehall Family Medicine, Whitehall, NY 12887-1543 | 2005-10-12 |
| 1124013719 | Whitehall Medical Clinic | Family Medicine | 108 W 1st St, Whitehall, MT 59759-0339 | 2005-09-20 |
| 1821083452 | Gayle Faye Sacry | Family Medicine | 108 W First St, Whitehall, MT 59759-0339 | 2005-09-20 |
| Find all providers in WHITEHALL | ||||
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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.