DR. TIBISAY I VILLALOBOS (NPI# 1225037591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225037591 |
| Entity Type | Individual |
| Full Name | DR. TIBISAY I VILLALOBOS |
| Credential | MD |
| Practice Address |
1210 S Cedar Crest Blvd Suite 2400 Allentown PA 18103-6229 |
| Practice Telephone | 6104023824 |
| Practice Fax Number | 6104023893 |
| Mailing Telephone | 6104023824 |
| Mailing Fax Number | 6104023893 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD447355 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1027656310001 | 05 |
| Street Address |
1210 S CEDAR CREST BLVD SUITE 2400 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336794627 | Elise Lerario | Audiologist | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2019-08-05 |
| 1417467218 | Erin Gerhart | Nurse Practitioner | 1210 S Cedar Crest Blvd, Allentown, PA 18103-6229 | 2017-10-06 |
| 1023559895 | Amelia Kuhns | Nurse Practitioner | 1210 S Cedar Crest Blvd, Ste 1100, Allentown, PA 18103-6229 | 2017-03-14 |
| 1316498876 | Victoria Kuebler | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2016-10-20 |
| 1679962500 | Lehigh Valley Physician Group | Surgery | 1210 S Cedar Crest Blvd, Suite 3000, Allentown, PA 18103-6229 | 2015-01-15 |
| 1104226190 | Kristen Lissenden | Nurse Practitioner | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2014-08-27 |
| 1942611843 | Kimberly Rarick | Pediatrics | 1210 S Cedar Crest Blvd, 6th Floor Jaindl, Allentown, PA 18103-6229 | 2014-05-13 |
| 1841535036 | Lehigh Valley Physician Group | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2012-11-29 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| 1083966469 | Anne Burdine | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-09 |
| 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 | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841535036 | Lehigh Valley Physician Group | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265957906 | Daniel Jorgensen | Pediatrics | 5 Great Valley Pkwy Ste 160, Malvern, PA 19355-1445 | 2017-08-03 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1538579263 | Mark Leonard Bagarazzi | Pediatrics | 280 Garrison Way, Conshohocken, PA 19428-2546 | 2014-05-02 |
| 1477654044 | Lee Antoinette Darville | Pediatrics | 4401 Penn Ave., Division of Infectious Diseases, Pittsburgh, PA 15224-1334 | 2006-09-26 |
| 1578511994 | Jill Ann Foster | Pediatrics | Erie Avenue At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-05-05 |
| 1750355053 | Leslie Serchuck | Pediatrics | 2118 Pine St, Philadelphia, PA 19103-6535 | 2006-02-14 |
| 1114535002 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2020-07-17 |
| 1003451345 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-11 |
| 1134763568 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1538663067 | Ashley Elizabeth Sobel Leonard | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-03-20 |
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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.