MARK D CIPOLLE (NPI# 1609883289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609883289 |
| Entity Type | Individual |
| Full Name | MARK D CIPOLLE |
| Credential | MD |
| Practice Address |
1240 S Cedar Crest Blvd Ste 308 Allentown PA 18103 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104021350 |
| Practice Fax Number | 6104021356 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | C10008548 | DE | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD049909L | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
C10008548 | DE | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD049909L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1609883289 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713 | 3026234370 | 3026233852 |
| Street Address |
1240 S CEDAR CREST BLVD STE 308 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093230393 | Jaclyn Sharkazy | Physician Assistant | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2017-08-08 |
| 1740685635 | Allison Leigh Delisle Bauer | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2014-11-04 |
| 1356754907 | Sunny Kar | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2014-06-10 |
| 1750701801 | Jeffrey Glaser | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2014-04-16 |
| 1396006797 | Matthew D Painter | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2012-06-01 |
| 1205121993 | Malia G Eischen | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2011-06-10 |
| 1942591201 | Jason M Weinberger | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2011-04-21 |
| 1346456118 | Kathryn L Wheel | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103 | 2007-05-16 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1356754907 | Sunny Kar | Surgery | 1240 S Cedar Crest Blvd Ste 308, Allentown, PA 18103-6370 | 2014-06-10 |
| 1245667344 | Lehigh Valley Physician Group | Surgery | 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103-6369 | 2013-10-03 |
| 1053606038 | David A Gordon Mdpc | Surgery | 1493 Wethersfield Dr, Allentown, PA 18104-1945 | 2011-06-17 |
| 1740459684 | Roline L Adolphine | Surgery | 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103-6369 | 2008-02-25 |
| 1578624201 | John Hong | Surgery | 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103-6369 | 2006-12-13 |
| 1811905128 | Michael Pasquale | Surgery | 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103-6369 | 2006-08-03 |
| 1003885955 | Rovinder Singh Sandhu | Surgery | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205272127 | Lily Tung | Surgery | 51 N. 39th Street, Suite 120, Philadelphia, PA 19104 | 2013-05-18 |
| 1083994149 | Mobile Wound Consultants II Inc. | Surgery | 123 Powderhorn Ln, Media, PA 19063-4520 | 2011-08-22 |
| 1073741484 | Joseph S Fernandez-moure | Surgery | 51 N 39th St Rm 120, Philadelphia, PA 19104 | 2009-06-24 |
| 1790913267 | Lourdes Castanon | Surgery | 2570 Haymaker Rd Ste 304, Monroeville, PA 15146-3513 | 2009-06-23 |
| 1508873126 | James Reilly | Surgery | 915 Lawn Ave Ste 203, Sellersville, PA 18960-1551 | 2006-08-03 |
| 1992729032 | Lexington Surgical | Surgery | 1701-12th Avenue, Bldg D, Altoona, PA 16602 | 2006-07-26 |
| 1750338166 | Donnelle L. Crouse | Surgery | 3685 Leah Dr, Emmaus, PA 18049-1560 | 2006-05-30 |
| 1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
| 1336117357 | Karyn L Butler | Surgery | 1245 Highland Ave Ste 302, Abington, PA 19001 | 2006-03-08 |
| 1285609404 | Ehyal Shweiki | Surgery | 1100 Walnut Street, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2006-02-21 |
| Find all providers with the same taxonomy | ||||
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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.