LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1912525247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912525247 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Practice Address |
1275 S Cedar Crest Blvd Ste 5 Allentown PA 18103-6207 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 110b Allentown PA 18104-2351 |
| Practice Telephone | 6108212820 |
| Practice Fax Number | 6108212859 |
| Mailing Telephone | 6109731410 |
| Mailing Fax Number | 6109731449 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | BREANNA SANTIAGO (PROVIDER ENROLLMENT LIAISON) |
| Authorized Official Telephone | 4848840661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bognet Medical Associates, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184799694 | Lehigh Valley Physician Group | Internal Medicine | 798 Hausman Rd Fl 1, Allentown, PA 18104-9108 | 2006-11-21 |
| Street Address |
1275 S CEDAR CREST BLVD STE 5 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6207 |
| 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 | 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 |
|---|---|---|---|---|
| 1770141277 | Nancy Anastasia Bobrysh | Family Medicine | 1247 S Cedar Crest Blvd Ste 200, Allentown, PA 18103-6347 | 2019-05-31 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1538697206 | Natalia Lapko | Family Medicine | 450 Chew St Ste 101, Allentown, PA 18102-3434 | 2017-05-25 |
| 1629516547 | Willy Gonzalez | Family Medicine | 1730 Chew Street, Allentown, PA 18104-5595 | 2017-02-11 |
| 1396192787 | Mahim Shuja | Family Medicine | 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 | 2016-05-16 |
| 1710347638 | Fairmont Medical Center, LLC | Family Medicine | 1720 W Fairmont St, Allentown, PA 18104-3118 | 2016-03-04 |
| 1073997961 | Kristen Kingry | Family Medicine | 1251 S Cedar Crest Blvd Ste 102a, Allentown, PA 18103-6205 | 2015-07-10 |
| 1649546946 | Miriam Shustik, Md, PC | Family Medicine | 203 Park Vista Ter, Allentown, PA 18104-4525 | 2012-03-30 |
| 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.