ADVANCED DERMATOLOGY ASSOCIATES, LTD. (NPI# 1932196060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932196060 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY ASSOCIATES, LTD. |
| Practice Address |
1259 S Cedar Crest Blvd Suite 100 Allentown PA 18103-6206 |
| Practice Telephone | 6104374134 |
| Practice Fax Number | 6104339690 |
| Mailing Telephone | 6104374134 |
| Mailing Fax Number | 6107700993 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | STEPHEN M PURCELL (CFO) |
| Authorized Official Telephone | 6104374134 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007735450013 | 05 | |
| PA | HIGHMARK GROUP NUMBER | 172424 | 01 |
| PA | RAILROAD MEDICARE | CA0756 | 01 |
| PA | CAPITAL BLUE CROSS GROUP# | 02343000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 236 Brodhead Rd, Bethlehem, PA 180178937 | 6104374134 | 6107700993 |
| 3400 Bath Pike Ste 203, Bethlehem, PA 180172480 | 6104374134 | 6107700993 |
| 700 Schuylkill Manor Rd Ste 5, Pottsville, PA 179013849 | 5706226804 | 5706214304 |
| Street Address |
1259 S CEDAR CREST BLVD SUITE 100 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033384 | Robert M Gordon | Psychologist | 1259 S Cedar Crest Blvd, Ste 325, Allentown, PA 18103-6206 | 2005-06-16 |
| 1093348112 | Carmeli Marie Senupe Tremucha | Physical Medicine & Rehabilitation | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2020-02-17 |
| 1093241267 | Francisco Jovani Alvarado | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2017-05-10 |
| 1689100778 | Youngmin Chu | Surgery | 1259 S Cedar Crest Blvd, Department of Surgery, Allentown, PA 18103-6372 | 2017-05-10 |
| 1568994143 | Marc Taylor Mitton | Dermatology | 1259 S Cedar Crest Blvd, Allentown, PA 18103 | 2017-04-01 |
| 1518327345 | Revolutionary Home Heatlh, Inc | Home Health | 1259 S Cedar Crest Blvd, Suite 255, Allentown, PA 18103-6372 | 2016-03-07 |
| 1568821650 | Lehigh Valley Physician Group | Pain Medicine | 1259 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6372 | 2016-02-17 |
| 1093197741 | Christian A Pothering | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2015-06-18 |
| 1902291164 | Claire Otteni Dorfman | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2015-04-03 |
| 1023420361 | Elise Scoggin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2014-05-21 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164909933 | Cdc Allentown, P.C. | Dermatology | 5354 Hamilton Blvd, Allentown, PA 18106-9775 | 2018-07-25 |
| 1205327202 | Janelle Christine Santarsiero | Dermatology | 2895 Hamilton Blvd Ste 202, Allentown, PA 18104-6172 | 2018-05-24 |
| 1548257546 | John Greg Brady | Dermatology | 798 Hausman Rd, Suite 310, Allentown, PA 18104-9108 | 2005-10-04 |
| 1174144208 | Kevin Liu | Dermatology | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-04-29 |
| 1710520614 | Tonya Rubin | Dermatology | 5354 Hamilton Blvd, Allentown, PA 18106-9775 | 2019-10-23 |
| 1568994143 | Marc Taylor Mitton | Dermatology | 1259 S Cedar Crest Blvd, Allentown, PA 18103 | 2017-04-01 |
| 1588028799 | Naeha Gupta | Dermatology | 1259 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6373 | 2016-04-13 |
| 1659746394 | Jeffrey Lawrence Rand | Dermatology | 1259 S Cedar Crest Blvd Ste 100, Allentown, PA 18103 | 2015-12-07 |
| 1902291164 | Claire Otteni Dorfman | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2015-04-03 |
| 1023420361 | Elise Scoggin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2014-05-21 |
| 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.