RICHARD MAZZACCARO (NPI# 1851323224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851323224 |
| Entity Type | Individual |
| Full Name | RICHARD MAZZACCARO |
| Credential | MD |
| Practice Address |
Cedar Crest Blvd & I-78 Allentown PA 18103 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178 |
| Practice Telephone | 6104026700 |
| Practice Fax Number | 6104026744 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD421920 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD421920 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101027932 | 05 |
| Street Address |
CEDAR CREST BLVD & I-78 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740442011 | Brent Schoenfeldt | Emergency Medicine | Cedar Crest Blvd & I-78, Allentown, PA 18105-1556 | 2008-06-27 |
| 1811156623 | Claudia Friederike Busse | Pediatrics | Cedar Crest Blvd & I-78, Allentown, PA 18103 | 2008-06-06 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] 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. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563224 | Crystal Ann Nunez | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103 | 2013-04-19 |
| 1992995245 | John Lindmark | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2007-08-01 |
| 1760672034 | Amy Lindmark | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2007-08-01 |
| 1730240458 | Melissa L. Brannen | Pediatrics | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6248 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599174 | Allan Curtis Kahler | Pediatrics | 7703 W Chester Pike, Upper Darby, PA 19082-1418 | 2020-02-11 |
| 1003352089 | Maureen Mccormack O'rourke | Pediatrics | 24 Greenhill Ln, Wynnewood, PA 19096-3422 | 2017-01-13 |
| 1831436088 | George Joseph Peckham | Pediatrics | 667 Conestoga Rd, Villanova, PA 19085-1426 | 2013-01-08 |
| 1093039893 | Charlotte Zahara Woods-hill | Pediatrics | 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 | 2010-03-23 |
| 1790910339 | Amir Bar | Pediatrics | 160 E. Erie Ave, Philadelphia, PA 19134 | 2009-05-27 |
| 1902948441 | Victor N Blankson | Pediatrics | 303 Carlisle Dr, Avondale, PA 19311-1440 | 2007-02-13 |
| 1700931417 | Alberto Marante | Pediatrics | 501 S Washington Ave Ste 1000, Scranton, PA 18505-3814 | 2007-01-24 |
| 1528149150 | Arun Chopra | Pediatrics | Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-10-18 |
| 1750331278 | Sharon Calaman | Pediatrics | St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-12 |
| 1699739599 | Paul Michael Shore | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2006-04-17 |
| 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.