THOMAS J RENALDO (NPI# 1073552840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552840 |
| Entity Type | Individual |
| Full Name | THOMAS J RENALDO |
| Credential | DO |
| Practice Address |
1255 S Cedar Crest Blvd Suite 3200 Allentown PA 18103-6256 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104025623 |
| Practice Fax Number | 6104021675 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS005407L | PA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OS005407L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE EAST | 0040725000 | 01 |
| PA | CAPITAL BLUE CROSS | 50004441 | 01 |
| PA | HIGHMARK BLUE SHIELD | 138086 | 01 |
| PA | RAILROAD MEDICARE | 80095184 | 01 |
| Street Address |
1255 S CEDAR CREST BLVD SUITE 3200 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699783 | Jennifer Allen | Internal Medicine | 1255 S Cedar Crest Blvd, 3500, Allentown, PA 18103-6256 | 2005-06-16 |
| 1346611563 | Jenni Lisiewski | Physician Assistant | 1255 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6256 | 2015-10-14 |
| 1194105239 | Muhammad Qasim | Internal Medicine | 1255 S Cedar Crest Blvd, Allentown, PA 18103-6256 | 2015-06-03 |
| 1942608666 | Lehigh Valley Physician Group | Internal Medicine | 1255 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6256 | 2014-12-11 |
| 1013320787 | Areeb Zamir | Internal Medicine | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103-6256 | 2014-06-10 |
| 1316357601 | Jonathan Kass | Radiology | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103-6256 | 2014-05-07 |
| 1588074744 | Robert Schreiner | Internal Medicine | 1255 S Cedar Crest Blvd, Allentown, PA 18103-6256 | 2014-04-28 |
| 1518397058 | Brian Billig | Nurse Practitioner | 1255 S Cedar Crest Blvd, Suite 3600, Allentown, PA 18103-6256 | 2013-11-20 |
| 1477992006 | Arsha Nambiar Sreedhar | Internal Medicine | 1255 S Cedar Crest Blvd, Department of Medicine, Suite 3200, Allentown, PA 18103-6256 | 2013-06-17 |
| 1053758342 | Paul M Kitei | Physical Medicine & Rehabilitation | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103 | 2013-05-28 |
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| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077464 | Warren Luther Ziegenfus IIi | Family Medicine | 1420 Springhouse Rd, Allentown, PA 18104-2235 | 2005-10-16 |
| 1164803391 | Seo Choi | Family Medicine | 1627 Chew St, Ground Floor, Allentown, PA 18105-7017 | 2015-06-12 |
| 1811128390 | Lehigh Geriatrics Associates LLC | Family Medicine | 1605 N Cedar Crest Blvd, Suite 110b, Allentown, PA 18104-2351 | 2009-08-02 |
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| 1750949814 | Aria Health Physicain Services | Family Medicine | 240 Middletown Blvd Ste 101a, Langhorne, PA 19047-1832 | 2019-06-04 |
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1275076051 | Alan Baseman | Family Medicine | 111 Harrison Forge Court, Chalfont, PA 18914 | 2016-11-28 |
| 1902148620 | Ingeborg Gerber | Family Medicine | 1 Horsetrail Ln, Blue Bell, PA 19422-2466 | 2013-03-20 |
| 1649517236 | Lancaster General Medical Group | Family Medicine | 99 Masonic Dr, Suite 101, Elizabethtown, PA 17022-2547 | 2013-01-16 |
| 1235475831 | Creating Partnership LLC | Family Medicine | 40 Fox Hollow Rd, Downingtown, PA 19335-1890 | 2012-12-31 |
| 1669600953 | St. Luke's Physician Group, Inc. | Family Medicine | 5445 Lanark Rd Ste 200, Center Valley, PA 18034-8694 | 2009-06-25 |
| 1457529729 | Frey Medical Associates PC | Family Medicine | 524 Beltzhoover Avenue, Pittsburgh, PA 15210 | 2008-02-20 |
| 1235314428 | Amy Jo Diplacido | Family Medicine | 111 Sheridan Street, Renaissance Family Practice, Pittsburgh, PA 15209-2639 | 2008-01-07 |
| 1407056732 | Joseph P. Chollak, Jr., M.d. | Family Medicine | 950 Wyoming Ave, Forty Fort, PA 18704-3966 | 2007-07-24 |
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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.