FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC (NPI# 1669444139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669444139 |
| Entity Type | Organization |
| Organization Name | FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC |
| Practice Address |
4110 Independence Dr Ste 300 Schnecksville PA 18078 |
| Practice Telephone | 6107694200 |
| Practice Fax Number | 6107694204 |
| Mailing Telephone | 6107694200 |
| Mailing Fax Number | 6107694204 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | SUSAN JEAN KUCIRKA (OWNER) |
| Authorized Official Telephone | 6107694200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD031979E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS | 50029439 | 01 |
| PA | BLUE SHIELD | 1580638 | 01 |
| Street Address |
4110 INDEPENDENCE DR STE 300 |
| City | SCHNECKSVILLE |
| State | PA |
| Zip Code | 18078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124369657 | Daniel Lee Klinger | Optometrist | 4110 Independence Dr, Schnecksville, PA 18078-2581 | 2013-03-07 |
| 1144590688 | April Lynn Smith | Physician Assistant | 4110 Independence Dr, Suite 300, Schnecksville, PA 18078-2581 | 2011-12-30 |
| 1508923087 | Le Grand Associates Inc | Durable Medical Equipment & Medical Supplies | 4110 Independence Dr, Suite #400, Schnecksville, PA 18078-2585 | 2007-01-03 |
| 1598731028 | Kimberly Ann Tacconi | Physician Assistant | 4110 Independence Dr, Ste 300, Schnecksville, PA 18078 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275007668 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 4909 Rt 873, Schnecksville, PA 18078 | 2019-01-18 |
| 1831550656 | Christine Kern | Occupational Therapy Assistant | 4531 Park View Dr Apt S-9, Schnecksville, PA 18078 | 2016-03-08 |
| 1205909934 | Karin C Trotta | Dentist | 4155 Independence Dr, Suite 2, Schnecksville, PA 18078 | 2006-11-17 |
| 1194811166 | Parkland Dental Center PC | Dentist | 4525 Spring Hill Dr, Schnecksville, PA 18078 | 2006-10-05 |
| 1306805627 | Parkland Chiropractic Center | Chiropractor | 4608 Route 309, Schnecksville, PA 18078 | 2006-03-23 |
| 1265982177 | Sandip Ladani | Dentist | 4955 Route 873, Schnecksville, PA 18078 | 2016-10-04 |
| 1013463264 | Angelique Baran | Social Worker | 4210 Independence Drive, Schnecksville, PA 18078 | 2016-08-28 |
| 1972648350 | Kidspeace National Centers Inc | Case Management | 1650 Broadway, Bethlehem, PA 18078 | 2007-02-21 |
| 1245375930 | Kidspeace National Centers Inc | Foster Care Agency | 1650 Broadway, Bethlehem, PA 18078 | 2007-02-20 |
| 1225098502 | Mark Allen Bateman | Chiropractor | 4608 Route 309, Schnecksville, PA 18078 | 2006-03-23 |
| Find all providers in zip 18078 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209063 | Susan Jean Kucirka | Dermatology | 4110 Independence Drive, Suite 300, Schnecksville, PA 18078 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | SCHNECKSVILLE |
| Zip Code | 18078 |
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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.