LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1205197902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205197902 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Other Organization Name | LVPG VASCULAR SURGERY |
| Practice Address |
1259 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6372 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104029400 |
| Practice Fax Number | 6104029420 |
| Mailing Telephone | 4848844500 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JAMES DEMOPOULOS (SR VP) |
| Authorized Official Telephone | 4848623333 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LVPG Vascular Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525247 | Lehigh Valley Physician Group | Family Medicine | 1275 S Cedar Crest Blvd Ste 5, Allentown, PA 18103-6207 | 2020-07-13 |
| 1790253904 | Lehigh Valley Physician Group | Family Medicine | 4263 Lonat Drive, Nazareth, PA 18064-8403 | 2018-11-06 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1689931842 | Lehigh Valley Physician Group | Chiropractor | 798 Hausman Rd Ste 240, Allentown, PA 18104-9108 | 2012-04-12 |
| 1316265192 | Lehigh Valley Physician Group | Family Medicine | 850 Golden Dr, Blandon, PA 19510-9631 | 2010-05-04 |
| 1639313224 | Lehigh Valley Physician Group | Internal Medicine | 281 North 12th Street, Suite B, Gnaden Huetten Professional Building, Lehighton, PA 18235 | 2009-04-27 |
| 1629212311 | Lehigh Valley Physician Group | Family Medicine | 6081 Hamilton Blvd, Wescosville, PA 18106-9767 | 2009-04-24 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1457412504 | Lehigh Valley Physician Group | Internal Medicine | 1255 S Cedar Crest Blvd Ste 2100, Allentown, PA 18103-6226 | 2006-12-13 |
| Street Address |
1259 S CEDAR CREST BLVD SUITE 301 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033384 | Robert M Gordon | Psychologist | 1259 S Cedar Crest Blvd, Ste 325, Allentown, PA 18103-6206 | 2005-06-16 |
| 1093348112 | Carmeli Marie Senupe Tremucha | Physical Medicine & Rehabilitation | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2020-02-17 |
| 1093241267 | Francisco Jovani Alvarado | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2017-05-10 |
| 1689100778 | Youngmin Chu | Surgery | 1259 S Cedar Crest Blvd, Department of Surgery, Allentown, PA 18103-6372 | 2017-05-10 |
| 1568994143 | Marc Taylor Mitton | Dermatology | 1259 S Cedar Crest Blvd, Allentown, PA 18103 | 2017-04-01 |
| 1518327345 | Revolutionary Home Heatlh, Inc | Home Health | 1259 S Cedar Crest Blvd, Suite 255, Allentown, PA 18103-6372 | 2016-03-07 |
| 1568821650 | Lehigh Valley Physician Group | Pain Medicine | 1259 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6372 | 2016-02-17 |
| 1093197741 | Christian A Pothering | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2015-06-18 |
| 1902291164 | Claire Otteni Dorfman | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2015-04-03 |
| 1023420361 | Elise Scoggin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2014-05-21 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619266996 | Christopher Robert Simon Werter | Surgery | 1259 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6206 | 2011-04-07 |
| 1568443869 | Peter J Isaac | Surgery | 1275 S Cedar Crest Blvd Ste 2, Allentown, PA 18103-6207 | 2005-11-14 |
| 1629207352 | Mila Ju | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2009-07-01 |
| 1295850162 | James L Guzzo | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-03-20 |
| 1306985387 | Bengt Ivarsson | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-02-06 |
| 1760432553 | Peripheral Vascular Surgeons, PC | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2006-05-11 |
| 1528049830 | Peter J Isaac Do LLC | Surgery | 1605 N Cedar Crest Blvd, Suite 609, Allentown, PA 18104-2351 | 2005-11-14 |
| 1730160029 | Mahmood Tahir | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1033190335 | Mahmood Tahir Md | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1497755128 | Victor J Celani | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2005-07-22 |
| 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.