Aaron Blackham (NPI# 1790965358, PAC ID# 4385774595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1790965358 |
| PAC ID by PECOS | 4385774595 |
| Professional Enrollment ID | I20160921000034 |
| Full Name | Aaron Blackham |
| Organization Legal Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Address |
707 Hamilton St Suite 400 Allentown PA 18101-2407 |
| Phone Number | 4848623001 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 3072425123 |
| Number of Group Practice Members | 1197 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390133 | LEHIGH VALLEY HOSPITAL |
| 390201 | LEHIGH VALLEY HOSPITAL - POCONO |
| Address | Phone | Organization |
|---|---|---|
| 707 Hamilton St, Suite 400, Allentown, PA 18101-2407 | 4848623001 | LEHIGH VALLEY PHYSICIAN GROUP |
| 181 E Brown St, East Stroudsburg, PA 18301-3006 | 5704262970 | FAMILY CARE CENTERS INC |
| Organization Legal Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Physicians | 1265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Treasure N Walker | Obstetrics/gynecology | Lehigh Valley Physician Group | 1245 S Cedar Crest Blvd, 201 Lvpg Obstetrics and Gynecology, Allentown, PA 18103-6258 |
| Aaron Frey | Emergency Medicine | Lehigh Valley Physician Group | 1200 S Cedar Crest Blvd, Lvpg Emergency Medicine, Allentown, PA 18103-6202 |
| Ashley Faye Bard | Nurse Practitioner | Lehigh Valley Physician Group | 14351 Kutztown Rd, Fleetwood, PA 19522-9273 |
| David Michael Gibbons | Hospice/palliative Care | Lehigh Valley Physician Group | 2166 S 12th St, 402 Oacis, Allentown, PA 18103-8700 |
| Alejandro Jose Hernandez | Family Medicine | Lehigh Valley Physician Group | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 |
| Carolyn Botros | Obstetrics/gynecology | Lehigh Valley Physician Group | 1770 Bathgate Rd, Suite 401, Bethlehem, PA 18017-7334 |
| Christine Marshall | Family Medicine | Lehigh Valley Physician Group | 141 E Emmaus Ave, Lvpg Family Medicine, Allentown, PA 18103-5824 |
| Mausumi Natalie Syamal | Otolaryngology | Lehigh Valley Physician Group | 401 N 17th St, 210 Lvpg Ear Nose and Throat, Allentown, PA 18104-5034 |
| Anna Juliette Emore | Nurse Practitioner | Lehigh Valley Physician Group | 1251 S Cedar Crest Blvd, 202a Lvpg Consultation Liasion Psychiatry, Allentown, PA 18103-6214 |
| Mary Stahl Levick | Pediatric Medicine | Lehigh Valley Physician Group | 1611 Pond Rd, Suite 301, Allentown, PA 18104-2258 |
| Street Address |
707 HAMILTON ST SUITE 400 |
| City | ALLENTOWN |
| State | PA |
| Zip | 18101-2407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus K Smurda | Physical Therapy | Lehigh Valley Hospital | 707 Hamilton St, Fl 4, Allentown, PA 18101-2407 |
| Daniel Kiefer | Obstetrics/gynecology | Lehigh Valley Physician Group | 707 Hamilton St, Suite 400, Allentown, PA 18101-2407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed T. Ibrahim | Psychiatry | 1101 Hamilton St, Allentown, PA 18101-1043 | |
| Sheikh Afzal | Psychiatry | Preventive Measures LLC | 1101 Hamilton St, 5th, Allentown, PA 18101-1043 |
| Brian Aurel Godard | Optometry | Allentown Vision Center P C | 939 Hamilton St, Allentown, PA 18101-1127 |
| Mark J Dalton | Optometry | Allentown Vision Center P C | 939 Hamilton St, Allentown, PA 18101-1127 |
| Tara L Kays | Optometry | Allentown Vision Center P C | 939 Hamilton St, Allentown, PA 18101-1127 |
| Diane F Vietz | Nurse Practitioner | Rediclinic of Pa, LLC | 27 N 7th St, Suite 100, Allentown, PA 18101-1357 |
| Peter L Caprioli | Nurse Practitioner | Rediclinic of Pa, LLC | 27 N 7th St, Suite 100, Allentown, PA 18101-1357 |
| Jennifer Rose Broschart-smith | Nurse Practitioner | Rediclinic of Pa, LLC | 27 N 7th St, Suite 100, Allentown, PA 18101-1357 |
| Tendai M Mawindi | Psychiatry | Omni Health Services Inc | 546 Hamilton St, Suite 100, Allentown, PA 18101-1503 |
| City | ALLENTOWN |
| Zip Code | 18101 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | ALLENTOWN + SURGICAL ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.