J. NATHAN HAGSTROM (NPI# 1720052368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720052368 |
| Entity Type | Individual |
| Full Name | J. NATHAN HAGSTROM |
| Credential | MD |
| Practice Address |
2545 Shoenersville Road 3rd Floor Bethlehem PA 18017 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6109692540 |
| Practice Fax Number | 6109693074 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD054176L | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
036909 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001369091 | 05 |
| Street Address |
2545 SHOENERSVILLE ROAD 3RD FLOOR |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| 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 |
|---|---|---|---|---|
| 1679112577 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-26 |
| 1659919553 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1396380887 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-11-08 |
| 1922172782 | Lehigh Valley Physician Group | Pediatrics | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2006-11-20 |
| 1457369134 | Lesley Simpson | Pediatrics | 2545 Schoenersville Rd, 3rd Floor, Bethlehem, PA 18017-7300 | 2006-08-04 |
| 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 |
| 1538301890 | Jacob Alan Troutman | Pediatrics | 1210 S Cedar Crest Blvd Ste 1000, Allentown, PA 18103 | 2009-04-01 |
| 1124289079 | Felipe S Bautista Otanez | Pediatrics | 1250 S Cedar Crest Blvd Ste 1000, Allentown, PA 18103-6224 | 2008-06-23 |
| 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 |
| 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 |
| 1063050680 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
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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.