KEVIN J KRIESEL (NPI# 1720093883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720093883 |
| Entity Type | Individual |
| Full Name | KEVIN J KRIESEL |
| Credential | MD |
| Practice Address |
401 N 17th St Suite 210 Allentown PA 18104-5034 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6109694950 |
| Practice Fax Number | 6109694960 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD457864 | PA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | L3721 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 040017071 | 05 | |
| TX | 151036401 | 05 | |
| TX | 151036402 | 05 | |
| TX | 151036403 | 05 |
| Street Address |
401 N 17TH ST SUITE 210 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445827 | Walters Pharmacy Inc | Pharmacy | 401 N 17th St, Suite 102, Allentown, PA 18104-5034 | 2005-05-27 |
| 1306385018 | Rebecca Aul | Nurse Practitioner | 401 N 17th St, Suite 211, Allentown, PA 18104-5034 | 2017-02-14 |
| 1922477678 | Lehigh Valley Physician Group | Otolaryngology | 401 N 17th St, Ste 210, Allentown, PA 18104-5034 | 2015-09-23 |
| 1093120701 | Radoslav Ivanov | Optometrist | 401 N 17th St, Suite 103, Allentown, PA 18104-5034 | 2014-06-23 |
| 1487067427 | Alexandra Lynn Mercurio-woch | Optometrist | 401 N 17th St, Suite 103, Allentown, PA 18104-5034 | 2014-06-07 |
| 1750727434 | Tasha Reck | Audiologist | 401 N 17th St, Suite 210, Allentown, PA 18104-5034 | 2013-05-21 |
| 1306109459 | Dalya Adel El Tawil | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2012-06-22 |
| 1215266945 | Julie N Rohe | Physician Assistant | 401 N 17th St, Ste 307, Allentown, PA 18104-5034 | 2009-12-08 |
| 1265676852 | Lehigh Valley Physician Group | Internal Medicine | 401 N 17th St, Suite 201, Allentown, PA 18104-5034 | 2009-04-27 |
| 1467696054 | Lehigh Valley Physician Group | Internal Medicine | 401 N 17th St, Suite 202, Allentown, PA 18104-5034 | 2009-04-27 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346596368 | John S Papola | Otolaryngology | 250 Sylvia Ln, Allentown, PA 18104-9079 | 2012-07-27 |
| 1003044751 | Mausumi Natalie Syamal | Otolaryngology | 401 N 17th St Ste 210, Allentown, PA 18104-5050 | 2009-07-01 |
| 1750320354 | The Head and Neck Center PC | Otolaryngology | 311 South Cedar Crest Boulevard, Allentown, PA 18103 | 2006-06-06 |
| 1952383861 | Edward Tomkin | Otolaryngology | 311 S Cedar Crest Blvd, Allentown, PA 18103-3600 | 2005-11-16 |
| 1922477678 | Lehigh Valley Physician Group | Otolaryngology | 401 N 17th St, Ste 210, Allentown, PA 18104-5034 | 2015-09-23 |
| 1922218999 | Roy Rajan | Otolaryngology | 1210 S Cedar Crest Blvd Ste 1100, Allentown, PA 18103 | 2007-05-22 |
| 1144353525 | Hilary Koprowski II | Otolaryngology | 1575 Pond Rd, Ste 203, Allentown, PA 18104 | 2007-03-14 |
| 1669505046 | Chetan S. Nayak | Otolaryngology | 401 N 17th St, Suite 210, Allentown, PA 18104-5034 | 2007-03-14 |
| 1891851812 | Sri Kiran Chennupati | Otolaryngology | 1210 S Cedar Crest Blvd, Suite 1100, Allentown, PA 18103-6229 | 2006-12-28 |
| 1790757722 | John J Sirotnak IIi | Otolaryngology | 401 N 17th St, Allentown, PA 18104-5034 | 2006-02-03 |
| Find all providers in ALLENTOWN | ||||
Please comment or provide details below to improve the information on KEVIN J KRIESEL.
| 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.