DR. GWEN STEPHANIE GREENBERG (NPI# 1295704278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295704278 |
Entity Type | Individual |
Full Name | DR. GWEN STEPHANIE GREENBERG |
Credential | D.P.M. |
Practice Address |
1255 S Cedar Crest Blvd Suite 2900 Allentown PA 18103-6256 |
Mailing Address |
1405 N Cedar Crest Blvd Suite 115 Allentown PA 18104-2308 |
Practice Telephone | 6104373939 |
Practice Fax Number | 4842442862 |
Mailing Telephone | 6104373939 |
Mailing Fax Number | 4842442862 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2013-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC001792L | PA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 000504203 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205223757 | Gwen Greenberg | Dietitian, Registered | 280 Norwood Ave, West Long Branch, NJ 07764-1879 | 2015-04-22 |
Street Address |
1255 S CEDAR CREST BLVD SUITE 2900 |
City | ALLENTOWN |
State | PA |
Zip Code | 18103-6256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699783 | Jennifer Allen | Internal Medicine | 1255 S Cedar Crest Blvd, 3500, Allentown, PA 18103-6256 | 2005-06-16 |
1346611563 | Jenni Lisiewski | Physician Assistant | 1255 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6256 | 2015-10-14 |
1194105239 | Muhammad Qasim | Internal Medicine | 1255 S Cedar Crest Blvd, Allentown, PA 18103-6256 | 2015-06-03 |
1942608666 | Lehigh Valley Physician Group | Internal Medicine | 1255 S Cedar Crest Blvd, Ste 2200, Allentown, PA 18103-6256 | 2014-12-11 |
1013320787 | Areeb Zamir | Internal Medicine | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103-6256 | 2014-06-10 |
1316357601 | Jonathan Kass | Radiology | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103-6256 | 2014-05-07 |
1588074744 | Robert Schreiner | Internal Medicine | 1255 S Cedar Crest Blvd, Allentown, PA 18103-6256 | 2014-04-28 |
1518397058 | Brian Billig | Nurse Practitioner | 1255 S Cedar Crest Blvd, Suite 3600, Allentown, PA 18103-6256 | 2013-11-20 |
1477992006 | Arsha Nambiar Sreedhar | Internal Medicine | 1255 S Cedar Crest Blvd, Department of Medicine, Suite 3200, Allentown, PA 18103-6256 | 2013-06-17 |
1053758342 | Paul M Kitei | Physical Medicine & Rehabilitation | 1255 S Cedar Crest Blvd, Suite 3200, Allentown, PA 18103 | 2013-05-28 |
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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 | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043203656 | Adam Jay Teichman | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2005-08-30 |
1568002640 | R T Equity Holdings LLC | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2020-01-07 |
1669036661 | Ruben Nunez | Podiatrist | 1736 Hamilton St, Allentown, PA 18104-5656 | 2019-04-24 |
1770010514 | Justin Guiliana | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2017-05-11 |
1790180883 | Lehigh Valley Physician Group | Podiatrist | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2014-10-31 |
1104231984 | Melody Sue Stouder | Podiatrist | 1736 Hamilton St, Allentown, PA 18104-5656 | 2014-06-30 |
1679986335 | Ashley Melissa Quinlan | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2014-06-10 |
1578903555 | Elliot Lawrence Busch | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2013-07-05 |
1366705238 | Simon George Tabchi | Podiatrist | 2895 Hamilton Blvd Ste 101, Allentown, PA 18104-6172 | 2012-06-16 |
1053673897 | Kevin Short | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2012-06-07 |
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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.