LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1780155689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155689 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Other Organization Name | LVPG DEVELOPMENTAL PEDIATRICS |
| Practice Address |
1611 Pond Rd Ste 400 Allentown PA 18104-2258 |
| Mailing Address |
2100 Mack Blvd Allentown PA 18103-5622 |
| Practice Telephone | 6103954300 |
| Practice Fax Number | 6105309372 |
| Mailing Telephone | 4848840661 |
| Mailing Fax Number | 4848840628 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | BREANNA SANTIAGO (ENROLLMENT) |
| Authorized Official Telephone | 4848840661 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LVPG Developmental Pediatrics | Doing Business As Name - Organization |
| 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 |
| 1790253904 | Lehigh Valley Physician Group | Family Medicine | 4263 Lonat Drive, Nazareth, PA 18064-8403 | 2018-11-06 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1689931842 | Lehigh Valley Physician Group | Chiropractor | 798 Hausman Rd Ste 240, Allentown, PA 18104-9108 | 2012-04-12 |
| 1316265192 | Lehigh Valley Physician Group | Family Medicine | 850 Golden Dr, Blandon, PA 19510-9631 | 2010-05-04 |
| 1639313224 | Lehigh Valley Physician Group | Internal Medicine | 281 North 12th Street, Suite B, Gnaden Huetten Professional Building, Lehighton, PA 18235 | 2009-04-27 |
| 1629212311 | Lehigh Valley Physician Group | Family Medicine | 6081 Hamilton Blvd, Wescosville, PA 18106-9767 | 2009-04-24 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1457412504 | Lehigh Valley Physician Group | Internal Medicine | 1255 S Cedar Crest Blvd Ste 2100, Allentown, PA 18103-6226 | 2006-12-13 |
| Street Address |
1611 POND RD STE 400 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377509 | Yvette M Janvier | Pediatrics | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2006-02-24 |
| 1336600352 | Katrina Ann Trexler | Nurse Practitioner | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2019-03-31 |
| 1912434226 | Katiemarie Gale Vottero | Pediatrics | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2017-05-17 |
| 1043669278 | Pamela Aruscavage | Nurse Practitioner | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2016-06-08 |
| 1699937771 | Gohar Ashraf | Pediatrics | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377509 | Yvette M Janvier | Pediatrics | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2006-02-24 |
| 1417478413 | St Luke's Physician Group Inc | Pediatrics | 501 Cetronia Rd Ste 115, Allentown, PA 18104-9569 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506884 | Janet J. Trychin | Pediatrics | 212 Cambridge Rd, Erie, PA 16511-1504 | 2020-07-27 |
| 1467924381 | Developmental Integrative Pediatrics | Pediatrics | 60 Abele Rd Ste 1105a, Bridgeville, PA 15017-3467 | 2018-12-18 |
| 1528565165 | Paula Sarteschi | Pediatrics | 2209 Quarry Dr Ste B23, Reading, PA 19609-1153 | 2018-04-10 |
| 1760614002 | Kristen Ann Bransby | Pediatrics | 2985 Tiffany Dr, Lititz, PA 17543-8306 | 2009-08-20 |
| 1902925589 | Craig Bradford Liden | Pediatrics | 4156 Kenneth Dr, Gibsonia, PA 15044-5324 | 2007-03-28 |
| 1093890238 | David N Sharlin | Pediatrics | 55 Betts Drive, Washington Crossing, PA 18977-1356 | 2006-10-26 |
| 1700829348 | Anila George Jacob | Pediatrics | 3420 Fifth Avenue, Room 236, Pittsburgh, PA 15213 | 2006-06-13 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1144852567 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-02-05 |
| 1104464742 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 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.