DIMITRY MIKHAYLOVICH PETRENKO


Address: 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271
Phone: 6104029116

DIMITRY MIKHAYLOVICH PETRENKO (NPI# 1518499946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518499946
Entity Type Individual
Full Name DIMITRY MIKHAYLOVICH PETRENKO
Credential DO
Practice Address 1250 S Cedar Crest Blvd Ste 205
Allentown
PA 18103-6271
Mailing Address 2701 Dekalb Pike
Norristown
PA 19401-1820
Practice Telephone 6104029116
Practice Fax Number 6104029610
Mailing Telephone 6102782003
Mailing Fax Number 6102782832
Enumeration Date 2017-04-03
Last Update Date 2020-06-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1250 S CEDAR CREST BLVD STE 205
City ALLENTOWN
State PA
Zip Code 18103-6271

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194873356 Nirupama Kakumanu Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2007-01-06
1861906570 Kristin Scrbacic Nurse Practitioner 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2017-11-17
1033622816 Michelle Adams Nurse Practitioner 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2017-11-15
1477099455 Melissa Harris-perotti Nurse Practitioner 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2017-01-13
1184074338 Christopher Lenivy Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2016-06-20
1518314913 Kaitlyn Sarah Musco Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 2016-05-16
1053712083 Sarah M Ginder Physician Assistant 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6271 2014-09-09
1346689551 Nicholas Joel Hinds Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 2013-06-20
1073958419 Roberto Stefan Fratamico Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 2013-04-29
1568724946 Scott Frederick Michael Blumhof Internal Medicine 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103 2012-06-12
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750903472 Larissa Nunez Student in an Organized Health Care Education/Training Program 391 Auburn St Apt 320, Allentown, PA 18103-3549 2020-05-15
1548799398 Chelsea Christine Giagni Student in an Organized Health Care Education/Training Program 707 Hamilton St Fl 8, Allentown, PA 18101-2407 2017-06-06
1932571171 Sean Remaley Student in an Organized Health Care Education/Training Program 2735 Diane Blvd, Allentown, PA 18109-3060 2015-10-27
1790806180 Tamika Green Student in an Organized Health Care Education/Training Program 203 E Susquehanna St, Allentown, PA 18103-5139 2007-04-03
1922611185 Tsneem Hamed Salem Mbydeen Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-08-27
1881212918 Cleo Zarina Alejo Reyes Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-07-06
1972128049 Jordan Benner Miller Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-06-14
1205451481 Rachael Janet Murphy Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-06-12
1679197578 Eugene Han Dao Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-06-05
1861016081 Saloni Goyal Student in an Organized Health Care Education/Training Program 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2020-06-03
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Competitor

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City ALLENTOWN
Zip Code 18103

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Dataset Information

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.

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