DR. SANJIV S AGARWALA (NPI# 1275505612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275505612 |
| Entity Type | Individual |
| Full Name | DR. SANJIV S AGARWALA |
| Credential | MD |
| Practice Address |
801 Ostrum Street Bethlehem PA 18015-1000 |
| Practice Telephone | 4845262140 |
| Practice Fax Number | 4845266055 |
| Mailing Telephone | 4845262140 |
| Mailing Fax Number | 4845266055 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD051748L | PA | Other Service Providers |
| N | 174400000X | Specialist | MD052173L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001467202 | 05 |
| Street Address |
801 OSTRUM STREET |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501227 | Susan E Clontz | Nurse Anesthetist, Certified Registered | 801 Ostrum Street, Bethlehem, PA 18015 | 2005-10-12 |
| 1235756131 | Susan Dhamala | Student in an Organized Health Care Education/Training Program | 801 Ostrum Street, Bethlehem, PA 18015 | 2020-06-26 |
| 1952926511 | Andrew Thomas Glavin | Student in an Organized Health Care Education/Training Program | 801 Ostrum Street, Bethlehem, PA 18015 | 2020-06-10 |
| 1821653387 | Matthew Meyers | Emergency Medicine | 801 Ostrum Street, Bethlehem, PA 18015 | 2019-05-09 |
| 1902266414 | Kimberly A Yoon | Nurse Practitioner | 801 Ostrum Street, Bethlehem, PA 18015-1116 | 2016-02-25 |
| 1649656927 | Nicole Corvino | Internal Medicine | 801 Ostrum Street, Bethlehem, PA 18015 | 2015-08-10 |
| 1740621382 | Veronica Coppersmith | Emergency Medicine | 801 Ostrum Street, St. Luke's University Health Network, Bethlehem, PA 18015 | 2013-07-11 |
| 1467687798 | Jens Hansen | Nurse Practitioner | 801 Ostrum Street, St. Lukes Hospital, Bethlehem, PA 18015 | 2009-05-15 |
| 1164619524 | John Raymond Schleicher Jr. | Emergency Medicine | 801 Ostrum Street, Bethlehem, PA 18015-1000 | 2007-10-01 |
| 1982897930 | Madhavi Devagiri | Internal Medicine | 801 Ostrum Street, Bethlehem, PA 18015-1000 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679910814 | Charles Barry Beaumont | Specialist | 36 Arch Bridge Rd, Bethlehem, CT 06751-1611 | 2013-05-29 |
| 1013276351 | Margaret Marshall | Specialist | 1725 W Broad St, Bethlehem, PA 18018-3323 | 2012-05-07 |
| 1821220575 | Laura Clark | Specialist | 283 Winslow Way, Bethlehem, GA 30620-3248 | 2009-08-13 |
| 1801086251 | Anthony Dippolito, M.d., P.C. | Specialist | 201 Drift Ct, Bethlehem, PA 18020-7500 | 2007-07-31 |
| 1538361761 | David B Grossman | Specialist | 2649 Schoenersville Rd Ste 202, Bethlehem, PA 18017-7316 | 2007-06-01 |
| 1679615652 | Joseph V Episcopio | Specialist | 2912 Kenwick Dr, Bethlehem, PA 18017-3042 | 2007-02-13 |
| 1013949346 | Joseph J Zaladonis Jr. | Specialist | 1665 Valley Center Pkwy, Suite 120, Bethlehem, PA 18017-2346 | 2006-07-07 |
| 1306888227 | Anthony F Moscato | Specialist | 3527 Hecktown Rd, Bethlehem, PA 18020-1301 | 2006-06-12 |
| 1144278383 | Robert C. Hunsicker | Specialist | 3445 High Point Blvd., Suite 100, Bethlehem, PA 18017 | 2006-05-04 |
| 1902882665 | Christopher N. Chapman | Specialist | 3555 Santee Mill Rd, Bethlehem, PA 18017-1100 | 2005-12-15 |
| 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.