CRAIG ANDREW MACKANESS (NPI# 1871720375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871720375 |
| Entity Type | Individual |
| Full Name | CRAIG ANDREW MACKANESS |
| Credential | DO |
| Practice Address |
1230 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6367 |
| Practice Telephone | 6104324529 |
| Mailing Telephone | 6104324529 |
| Mailing Fax Number | 6104322206 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
OS015563 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1230 S CEDAR CREST BLVD SUITE 301 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618522 | Geoffrey Gaddis Hallock | Plastic Surgery | 1230 S Cedar Crest Blvd, Suite 306, Allentown, PA 18103-6212 | 2005-08-31 |
| 1548710114 | James A. Gerding | Physician Assistant | 1230 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6367 | 2016-10-07 |
| 1932572013 | Mark Harvey | Nurse Practitioner | 1230 S Cedar Crest Blvd, Ste 201, Allentown, PA 18103-6367 | 2015-11-11 |
| 1093187445 | April Lynn Wesche | Physician Assistant | 1230 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6367 | 2015-10-26 |
| 1134419385 | Valley Kidney Specialists, P.C. | Internal Medicine | 1230 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6231 | 2011-04-08 |
| 1801041207 | Asma Hasan | Internal Medicine | 1230 S Cedar Crest Blvd, Suite 304, Allentown, PA 18103-6367 | 2008-11-26 |
| 1629241641 | Judith A Madaus | Nurse Practitioner | 1230 S Cedar Crest Blvd, Suite 301, Allentown, PA 18103-6367 | 2008-04-10 |
| 1992999262 | Altobelli Md PC | Surgery | 1230 S Cedar Crest Blvd, Suite 202, Allentown, PA 18103-6367 | 2007-08-30 |
| 1740354505 | Lehigh Valley Physician Group | Internal Medicine | 1230 S Cedar Crest Blvd, #201, Allentown, PA 18103-6367 | 2006-11-20 |
| 1376615468 | Lehigh Valley Physician Group | Plastic Surgery | 1230 S Cedar Crest Blvd, #204, Allentown, PA 18103-6367 | 2006-11-14 |
| Find all providers in the same location | ||||
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| 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 |
| 1194135640 | Frontline Medical & Kidney Care, LLC | Internal Medicine | 451 Chew St Ste 407, Allentown, PA 18102-3424 | 2014-05-06 |
| 1649424474 | Surekha Neeli | Internal Medicine | 1230 S Cedar Crest Blvd Ste 30302304, Allentown, PA 18103-6367 | 2008-11-06 |
| 1053579714 | Guillermo Ernesto Carnero Salazar | Internal Medicine | 1901 W Hamilton St, Suite 300, Allentown, PA 18104 | 2008-05-29 |
| 1023094364 | Drew Stone Harrison | Internal Medicine | 1230 S Cedar Crest Blvd Ste 301, 302, 304, Allentown, PA 18103-6367 | 2005-12-19 |
| 1578122305 | Shoaib Mansoor | Internal Medicine | 1230 S Cedar Crest Blvd Ste 304, Allentown, PA 18103-6212 | 2019-06-05 |
| 1235698465 | Mehrian Jafarizade | Internal Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2019-03-18 |
| 1962992404 | Kidney Care Specialists LLC | Internal Medicine | 1230 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6212 | 2018-05-10 |
| 1922364066 | Gregory Raju Varghese | Internal Medicine | 1230 S Cedar Crest Blvd Stes 301, 302, 304, Allentown, PA 18103-6212 | 2012-04-03 |
| 1518233881 | Margaret Mary Duffy | Internal Medicine | 1230 S Cedar Crest Blvd Stes 301, 302, 304, Allentown, PA 18103-6212 | 2012-03-30 |
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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.