MR. SAMUEL JAMES HERTIG (NPI# 1275773723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275773723 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL JAMES HERTIG |
| Credential | PA |
| Practice Address |
1250 S Cedar Crest Blvd Ste 400 Allentown PA 18103-6224 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 411 Allentown PA 18104-2323 |
| Practice Telephone | 6104026555 |
| Practice Fax Number | 6104026550 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4846647659 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060879 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1250 S CEDAR CREST BLVD STE 400 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290553 | Sarah Bouffard | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2020-06-17 |
| 1477184349 | Kristen Halenar | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2020-01-30 |
| 1902436389 | Megan Kennedy | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2020-01-24 |
| 1215405188 | Heather L Horvath | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2018-11-08 |
| 1790278430 | Katherine Moss Painter | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2018-06-07 |
| 1154722148 | Kristen Ashley Sykora | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2014-09-09 |
| 1669811659 | Sean Stockhausen | Family Medicine | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2013-06-23 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
| 1336232859 | David J. Grazio | Physician Assistant | 30 N. 18th Street, Allentown, PA 18104 | 2006-10-02 |
| 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.