DR. PETER J ISAAC (NPI# 1568443869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568443869 |
| Entity Type | Individual |
| Full Name | DR. PETER J ISAAC |
| Credential | DO |
| Practice Address |
1275 S Cedar Crest Blvd Ste 2 Allentown PA 18103-6207 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 110b Allentown PA 18104-2351 |
| Practice Telephone | 6108205703 |
| Practice Fax Number | 6104335660 |
| Mailing Telephone | 6109731410 |
| Mailing Fax Number | 6109731449 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OS005861L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNISON | 153138 | 01 | |
| RR MEDICARE | P00138845 | 01 | |
| CBC | 50036423 | 01 | |
| HIGHMARK BLUE SHIELD | 653413 | 01 | |
| AMERIHEALTH MERCY | 20033449 | 01 | |
| PA | 0012579850004 | 05 | |
| IBC | 0484998000 | 01 | |
| GATEWAY HEALTH PLAN | 1538907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363933 | Peter C Isaac | Pathology | 3080 Milam St, Beaumont, TX 77701-4828 | 2005-11-15 |
| Street Address |
1275 S CEDAR CREST BLVD STE 2 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6207 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619266996 | Christopher Robert Simon Werter | Surgery | 1259 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6206 | 2011-04-07 |
| 1205197902 | Lehigh Valley Physician Group | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2012-05-30 |
| 1629207352 | Mila Ju | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2009-07-01 |
| 1295850162 | James L Guzzo | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-03-20 |
| 1306985387 | Bengt Ivarsson | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6372 | 2007-02-06 |
| 1760432553 | Peripheral Vascular Surgeons, PC | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2006-05-11 |
| 1528049830 | Peter J Isaac Do LLC | Surgery | 1605 N Cedar Crest Blvd, Suite 609, Allentown, PA 18104-2351 | 2005-11-14 |
| 1730160029 | Mahmood Tahir | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1033190335 | Mahmood Tahir Md | Surgery | 451 W Chew St, Suite 310, Allentown, PA 18102-3472 | 2005-11-14 |
| 1497755128 | Victor J Celani | Surgery | 1259 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6206 | 2005-07-22 |
| 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.