DR. JACK A. HENRIQUEZ (NPI# 1548349244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548349244 |
| Entity Type | Individual |
| Full Name | DR. JACK A. HENRIQUEZ |
| Credential | MD |
| Practice Address |
528 Parkside Ct Allentown PA 18104-4681 |
| Practice Telephone | 6103989444 |
| Practice Fax Number | 6103989353 |
| Mailing Telephone | 6103989444 |
| Mailing Fax Number | 6103989353 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD016555E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
528 PARKSIDE CT |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-4681 |
| 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 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552090 | Daniel Spollen | Emergency Medicine | 375 Auburn St Apt 208, Allentown, PA 18103-3588 | 2014-06-10 |
| 1285044883 | Jessica Maier | Emergency Medicine | 1200 S Cedar Crest Blvd Ste 301, Allentown, PA 18103 | 2014-05-05 |
| 1578798302 | Swetha Anepu | Emergency Medicine | 1511 Duxbury Ct, Allentown, PA 18104-1964 | 2009-05-22 |
| 1154556140 | Mary Sibley | Emergency Medicine | 1200 S. Cedar Crest Blvd, Allentown, PA 18105 | 2009-05-20 |
| 1033385463 | Westfield Hospital | Emergency Medicine | 4815 W Tilghman St, Allentown, PA 18104-9374 | 2008-05-06 |
| 1730196940 | Bobbi M Brooks | Emergency Medicine | 421 Chew Sreet, Allentown, PA 18102-3406 | 2006-08-01 |
| 1578500344 | St. Luke's Hosptial | Emergency Medicine | 1736 Hamilton Street, Allentown, PA 18104 | 2006-06-01 |
| 1457309650 | Lehigh Valley Physician Group | Emergency Medicine | 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 | 2006-05-04 |
| 1649270562 | Cyrus K Houshmand | Emergency Medicine | 3178 W Tilghman St, Allentown, PA 18104-4222 | 2005-07-21 |
| 1447876008 | Curtis Patrick Oettel-flaherty | Emergency Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-19 |
| 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.