CEDAR CREST ENT ASSOCIATES P.C. (NPI# 1073575973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073575973 |
| Entity Type | Organization |
| Organization Name | CEDAR CREST ENT ASSOCIATES P.C. |
| Practice Address |
1251 S Cedar Crest Blvd Suite 100 Allentown PA 18103-6205 |
| Practice Telephone | 6107709797 |
| Practice Fax Number | 6107709521 |
| Mailing Telephone | 6107709797 |
| Mailing Fax Number | 6107709521 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DR. THEODORE H GAYLOR (M.D./PRESIDENT) |
| Authorized Official Telephone | 6107709797 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MD022099E | PA | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
MD022099E | PA | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD022099E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02348200 | 01 |
| PA | AETNA US HEALTHCARE | 0549870 | 01 |
| Street Address |
1251 S CEDAR CREST BLVD SUITE 100 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091570 | John David Karabasz | Dentist | 1251 S Cedar Crest Blvd, Ste 306, Allentown, PA 18103-6205 | 2005-05-24 |
| 1881133171 | Alicia Coffman | Counselor | 1251 S Cedar Crest Blvd, 211d, Allentown, PA 18103-6205 | 2017-02-20 |
| 1467807818 | Julia Anne West | Psychologist | 1251 S Cedar Crest Blvd, Suite 211d, Allentown, PA 18103-6205 | 2016-05-03 |
| 1538532932 | Lee&zhao Acupuncture Pllc | Acupuncturist | 1251 S Cedar Crest Blvd, Allentown, PA 18103-6205 | 2015-11-06 |
| 1154798072 | Scott Frey Dds PC | Dentist | 1251 S Cedar Crest Blvd, Suite 210, Allentown, PA 18103-6205 | 2015-08-26 |
| 1700265766 | Dane Brittan Kyle | Dentist | 1251 S Cedar Crest Blvd, Suite 207-c, Allentown, PA 18103-6205 | 2015-05-23 |
| 1639557663 | Nicole Freemont | Audiologist-Hearing Aid Fitter | 1251 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6205 | 2015-05-11 |
| 1255726477 | Sunghee Lee | Acupuncturist | 1251 S Cedar Crest Blvd, Building 1251, Suite 110a, Allentown, PA 18103-6205 | 2015-04-03 |
| 1194118216 | Lysslex, Inc. | Home Health | 1251 S Cedar Crest Blvd, Suite 209, Allentown, PA 18103-6205 | 2015-03-13 |
| 1730503723 | That Foot Doctor, LLC | Podiatrist | 1251 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6205 | 2014-02-11 |
| 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 | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114362092 | Robert D Strauss | Otolaryngology | 4734 Lynnfield Ln, South Gate, Allentown, PA 18104-9091 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275777047 | Charles Richard Scipione | Otolaryngology | 107 Mine Rd, Malvern, PA 19355-9656 | 2009-04-23 |
| 1194928069 | Zaher Srour | Otolaryngology | 864 Broadway Ste 101, Hanover, PA 17331 | 2007-06-07 |
| 1841378098 | Mathur Health Care | Otolaryngology | 2324 Portage St, Summerhill, PA 15958-3406 | 2006-11-02 |
| 1770524175 | Vernose & Mcgrath Otolaryngology Assoc. | Otolaryngology | 1841 South Broad Street, Philadelphia, PA 19148 | 2006-06-09 |
| 1275590309 | Anthony R Ulizio | Otolaryngology | 310 Rodi Rd, Ste 200, Pittsburgh, PA 15235-3318 | 2006-05-01 |
| 1114912177 | Bucks Ent Associates, P.C. | Otolaryngology | 3 Cornerstone Dr, Suite 703, Langhorne, PA 19047-1320 | 2005-09-15 |
| 1649265752 | Benjamin Steven Chack | Otolaryngology | 3 Cornerstone Drive, Suite 703, Langhorne, PA 19047 | 2005-09-14 |
| 1194723163 | Lee Dickinson Rowe | Otolaryngology | 2340 E Allegheny Ave, Phila, PA 19134-4433 | 2005-07-13 |
| 1730669425 | Christopher Mkl Yao | Otolaryngology | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2018-08-21 |
| 1851841662 | Temple Physicians Inc | Otolaryngology | 2340 E Allegheny Ave, Philadelphia, PA 19134-4433 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
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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.