TOBACCO TREATMENT PROGRAM (NPI# 1972742005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972742005 |
| Entity Type | Organization |
| Organization Name | TOBACCO TREATMENT PROGRAM |
| Practice Address |
1243 S Cedar Crest Blvd Suite 300 Allentown PA 18103-6268 |
| Practice Telephone | 6104022490 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MS. SUZANNE SMITH (MANAGER, TOBACCO TREATMENT PROGRAM) |
| Authorized Official Telephone | 6104022490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1243 S CEDAR CREST BLVD SUITE 300 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1619431350 | Kerin Oksienik | Counselor | 1424 Dayspring Dr Ste 230, Allentown, PA 18106-9488 | 2019-01-28 |
| 1952873937 | Connie Uff | Counselor | 6235 Hamilton Blvd Ste 105, Allentown, PA 18106-9698 | 2019-01-01 |
| 1538644042 | Dario Jon Karlovic Jr. | Counselor | 737 N 25th St, Allentown, PA 18104-3931 | 2018-10-01 |
| 1558895300 | Joanna Bacelli | Counselor | 961 Marcon Blvd Ste 304, Allentown, PA 18109-9373 | 2017-04-19 |
| 1861818338 | Louise Elizabeth Foote | Counselor | 318 S 18th St, Allentown, PA 18104-6717 | 2014-03-08 |
| 1376899286 | Susan Beth Avrich | Counselor | 4032 Evergreen Rd, Allentown, PA 18104-4452 | 2012-07-29 |
| 1760754733 | Michael J Krim | Counselor | 343 Hopewell Dr, Allentown, PA 18104-8502 | 2012-02-06 |
| 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.