LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1790073963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790073963 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Other Organization Name | LVPG REG NUTRITIONIST |
| Practice Address |
1243 S Cedar Crest Blvd Suite 2200 Allentown PA 18103-6268 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104022500 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | JOHN BERZINSKY (ASSOC EX DIR OF FINANCE) |
| Authorized Official Telephone | 6107984500 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
PA | Dietary & Nutritional Service Providers | |
| Y | 133V00000X | Dietitian, Registered | PA | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| LVPG Reg Nutritionist | 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 |
1243 S CEDAR CREST BLVD SUITE 2200 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323820 | Gary A. Tarola | Chiropractor | 1243 S Cedar Crest Blvd, Sutie# 2400 2nd Floor, Allentown, PA 18103-6268 | 2005-08-18 |
| 1538798772 | Michelle Rhonda Waitz-lynch | Speech-Language Pathologist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2020-04-08 |
| 1336706993 | Sara Renee Endres | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2019-05-20 |
| 1639654528 | Thomas Novak Fraind | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-09-26 |
| 1205324092 | Regina Radocha Sacco | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-04-26 |
| 1598290421 | Shaeista Ali Khaku | Occupational Therapist | 1243 S Cedar Crest Blvd, 102, Allentown, PA 18103-6268 | 2017-04-28 |
| 1376082065 | Joseph Gocek | Physical Therapist | 1243 S Cedar Crest Blvd, Suite 102, Allentown, PA 18103-6268 | 2017-02-15 |
| 1801333752 | Colin Ellis | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2017-01-30 |
| 1720522881 | Erin Ebert | Nurse Practitioner | 1243 S Cedar Crest Blvd, Suite 2800, Allentown, PA 18103-6268 | 2016-12-08 |
| 1154778082 | Sandhya Venkataraman | Internal Medicine | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2016-05-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396373346 | Fuel The Fire | Dietitian, Registered | 4060 Broadway, Allentown, PA 18104-5255 | 2020-03-27 |
| 1558800920 | Courtney N Hager | Dietitian, Registered | 197 Red Clover Ln, Allentown, PA 18104-9264 | 2017-02-18 |
| 1073062683 | Kathleen M. Hanuschak | Dietitian, Registered | 1200 South Cedar Crest Boulevard, Sodexo Administration Office, Allentown, PA 18103-6202 | 2016-09-23 |
| 1477916401 | Janet Schuch | Dietitian, Registered | Lehigh Valley Health Network - 17th & Chew Sts, Aao, Allentown, PA 18105 | 2016-03-29 |
| 1538532882 | Jennifer Marie Acevedo | Dietitian, Registered | 838 E Wayne Ave, Allentown, PA 18103-5277 | 2015-11-09 |
| 1164894531 | Shanon Safi | Dietitian, Registered | 1521 Lehigh Pkwy N, Allentown, PA 18103-2912 | 2015-10-26 |
| 1447639646 | Mary Barrett Barkley | Dietitian, Registered | 17 Probasco Dr, Allentown, NJ 08501-1654 | 2015-05-21 |
| 1144536533 | Julie Anne Farrell | Dietitian, Registered | 240 Cetronia Rd Ste 205n, Allentown, PA 18104-9263 | 2010-08-24 |
| 1972621936 | Florence Ann Norelli | Dietitian, Registered | 530 N 13th St, Allentown, PA 18102-2104 | 2007-03-27 |
| 1295815900 | Jacqueline Jarrett | Dietitian, Registered | 961 Marcon Blvd Ste 115, Allentown, PA 18109-9371 | 2006-10-17 |
| Find all providers in ALLENTOWN | ||||
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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.