SOTIRIOS A. VASILOPOULOS, MD, PC (NPI# 1396088795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396088795 |
| Entity Type | Organization |
| Organization Name | SOTIRIOS A. VASILOPOULOS, MD, PC |
| Practice Address |
1611 Pond Rd Suite 101 Allentown PA 18104-2258 |
| Practice Telephone | 6108418006 |
| Practice Fax Number | 6103668550 |
| Mailing Telephone | 6108418006 |
| Mailing Fax Number | 6103668550 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | DR. SOTIRIOS VASILOPOULOS (PRESIDENT) |
| Authorized Official Telephone | 6108418006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD439059 | PA | Ambulatory Health Care Facilities |
| Street Address |
1611 POND RD SUITE 101 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330999 | Stephen P Alvarado | Pediatrics | 1611 Pond Rd, Suite 400, Allentown, PA 18104-2258 | 2005-07-15 |
| 1902466808 | Leila Nassar | Lactation Consultant, Non-RN | 1611 Pond Rd, Allentown, PA 18104-2258 | 2019-06-13 |
| 1972975324 | Danielle Schultz | Nurse Practitioner | 1611 Pond Rd, Suite 102, Allentown, PA 18104-2258 | 2015-10-26 |
| 1922475417 | Emily Brophy | Obstetrics & Gynecology | 1611 Pond Rd, Allentown, PA 18104-2258 | 2015-08-31 |
| 1770968380 | Jessica Schreck | Clinical Nurse Specialist | 1611 Pond Rd, Ste 401, Allentown, PA 18104-2258 | 2015-07-24 |
| 1811390909 | Beth A Folio | Obstetrics & Gynecology | 1611 Pond Rd, Suite 300, Allentown, PA 18104 | 2014-10-02 |
| 1891102356 | Lubna Malik | Pediatrics | 1611 Pond Rd, Ste. 400, Allentown, PA 18104-2258 | 2014-07-16 |
| 1275897100 | Jennifer Lynn Schumaker | Nurse Practitioner | 1611 Pond Rd, Ste 401, Allentown, PA 18104-2258 | 2012-06-26 |
| 1043576374 | Nextgen Endoscopy Centre LLC | Clinic/Center | 1611 Pond Rd, Allentown, PA 18104-2258 | 2012-04-11 |
| 1639440548 | Kristin A Tyson | Physician Assistant | 1611 Pond Rd, Ste 401, Allentown, PA 18104-2258 | 2012-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.