DR. PRESTON JAMES KICK (NPI# 1164806048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164806048 |
| Entity Type | Individual |
| Full Name | DR. PRESTON JAMES KICK |
| Credential | D.O. |
| Practice Address |
190 Brodhead Rd Suite 101 Bethlehem PA 18017-8617 |
| Practice Telephone | 6106949090 |
| Mailing Telephone | 6106949090 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OT016306 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
190 BRODHEAD RD SUITE 101 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-8617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144271255 | James Warren Manley | Family Medicine | 190 Brodhead Rd, Suite 101, Bethlehem, PA 18017-8617 | 2006-05-13 |
| 1427431576 | Nicole Hrycko | Nurse Practitioner | 190 Brodhead Rd, Bethlehem, PA 18017-8617 | 2015-07-08 |
| 1215319884 | Lehigh Valley Physician Group | Family Medicine | 190 Brodhead Rd, Suite 101, Bethlehem, PA 18017-8617 | 2015-06-19 |
| 1720491657 | Helen Lewis | Family Medicine | 190 Brodhead Rd, Suite 101, Bethlehem, PA 18017-8617 | 2014-06-09 |
| 1609293497 | Michelle Susan Koch | Counselor | 190 Brodhead Rd, Suite 107, Bethlehem, PA 18017-8617 | 2014-03-18 |
| 1457616237 | Natalie Mansour | Family Medicine | 190 Brodhead Rd, Suite 101, Bethlehem, PA 18017-8617 | 2012-07-09 |
| 1699060921 | Veronica Kvarta Brohm | Family Medicine | 190 Brodhead Rd, Suite 101, Bethlehem, PA 18017-8617 | 2011-06-15 |
| 1578775896 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 190 Brodhead Rd, Suite 215, Bethlehem, PA 18017-8617 | 2007-05-07 |
| 1790857027 | Lehigh Valley Physician Group | Obstetrics & Gynecology | 190 Brodhead Rd, #205, Bethlehem, PA 18017-8617 | 2006-11-14 |
| 1013023811 | Judith Canaday | Nurse Practitioner | 190 Brodhead Rd, Suite 205, Bethlehem, PA 18017-8617 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605522 | St. Luke's Physician Group Inc | Family Medicine | 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020-8037 | 2020-03-23 |
| 1376035485 | Natasha Mozumdar | Family Medicine | 3024 Easton Avenue, Bethlehem, PA 18017-4208 | 2018-06-04 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1518398163 | Charles Frederick Thompson Jr. | Family Medicine | 3807 Wilhelm Rd, Bethlehem, PA 18015-5935 | 2013-12-09 |
| 1609198944 | St. Luke's Hospital | Family Medicine | 1210 E. 4th St, Bethlehem, PA 18015 | 2010-02-26 |
| 1134455892 | Hamid Mukhtar | Family Medicine | 2649 Schoenersville Rd Ste 100, Bethlehem, PA 18017-7326 | 2009-10-30 |
| 1124236187 | Calvin Morgan Terrelonge | Family Medicine | 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794 | 2007-05-21 |
| 1235259995 | Mary Anne A Pajel-sio Md PC | Family Medicine | 2551 Baglyos Cir, Suite A-10, Bethlehem, PA 18020-8042 | 2007-03-29 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1578645123 | Vellore Medical Associates,p.c. | Family Medicine | 3893 Adler Pl, Suite 160, Bldg B, Bethlehem, PA 18017-9072 | 2006-10-20 |
| Find all providers in BETHLEHEM | ||||
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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.