LEHIGH VALLEY PHYSICIAN GROUP (NPI# 1235537028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235537028 |
| Entity Type | Organization |
| Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Other Organization Name | LVPG INTERNAL MEDICINE-WEST BROAD |
| Practice Address |
325 W Broad St Bethlehem PA 18018-5526 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 4846269200 |
| Practice Fax Number | 6108678499 |
| Mailing Telephone | 4848844500 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | JOHN BERZINSKY (SR VP) |
| Authorized Official Telephone | 4848844500 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH VALLEY PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LVPG Internal Medicine-West Broad | 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 |
325 W BROAD ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701771 | Brian K Shablin | Internal Medicine | 325 W Broad St, Bethlehem, PA 18018-5526 | 2005-12-15 |
| 1427571611 | Lora Elizabeth Doebler | Physician Assistant | 325 W Broad St, Bethlehem, PA 18018-5526 | 2017-07-20 |
| 1740639855 | Shelley Martinez | Nurse Practitioner | 325 W Broad St, Bethlehem, PA 18018-5526 | 2016-06-09 |
| 1821359688 | Diana Elizabeth Farrell-grossman | Internal Medicine | 325 W Broad St, Bethlehem, PA 18018 | 2012-06-07 |
| 1811150568 | Reena V Kanabar | Obstetrics & Gynecology | 325 W Broad St, 3rd Floor, Bethlehem, PA 18018-5526 | 2008-07-02 |
| 1053586966 | Anita Sargent | Obstetrics & Gynecology | 325 W Broad St, 3rd Floor, Bethlehem, PA 18018-5526 | 2008-04-23 |
| 1326108259 | Maria R. Dejoseph | Internal Medicine | 325 W Broad St, Bethlehem, PA 18018-5526 | 2006-12-11 |
| 1275624769 | Ranjini Chugh | Pediatrics | 325 W Broad St, Second Floor, Bethlehem, PA 18018-5526 | 2006-09-27 |
| 1275595720 | Susan Elizabeth Adams | Pediatrics | 325 W Broad St, Second Floor, Bethlehem, PA 18018-5526 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052387 | Gerson De Freitas | Internal Medicine | 801 Ostrum St # Cw5, Bethlehem, PA 18015-1000 | 2017-02-20 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1003236290 | Kathryn Mae Pisarcik | Internal Medicine | 2545 Schoenersville Rd Fl 2, Bethlehem, PA 18017-7300 | 2014-04-26 |
| 1629331319 | Ana Aldea | Internal Medicine | 701 Ostrum St Ste 103, Bethlehem, PA 18015-1000 | 2012-06-19 |
| 1992063556 | Melissa Sue Auer | Internal Medicine | 2649 Schoenersville Rd Ste 201, Bethlehem, PA 18017-7316 | 2012-05-01 |
| 1548563661 | James Alexander Cowan | Internal Medicine | 54 E Wall St, Bethlehem, PA 18018-6009 | 2010-12-11 |
| 1396973178 | Ravi Agrawal | Internal Medicine | 834 Eaton Ave Ste 301, Bethlehem, PA 18018-1832 | 2009-06-30 |
| 1871737643 | Mohamed Azkar Jamaldeen | Internal Medicine | 2060 Westgate Dr, Apt G9, Bethlehem, PA 18017-7467 | 2009-04-23 |
| 1629217849 | Dwithiya Krishnan Thomas | Internal Medicine | 1469 Eighth Avenue, Bethlehem, PA 18015 | 2009-02-11 |
| 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.