RIDGE AVENUE SPORTS MEDICINE, INC. (NPI# 1881987998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881987998 |
| Entity Type | Organization |
| Organization Name | RIDGE AVENUE SPORTS MEDICINE, INC. |
| Practice Address |
1150 Glenlivet Dr A-21 Allentown PA 18106-3112 |
| Mailing Address |
514 N 24th St Allentown PA 18104-4917 |
| Practice Telephone | 4846647700 |
| Practice Fax Number | 4846647701 |
| Mailing Telephone | 4846647700 |
| Mailing Fax Number | 4846647701 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |
| Authorized Official Name | MISS MARCY LEA SOCRATES (OFFICE MANAGER) |
| Authorized Official Telephone | 4846647700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD025425E | PA | Ambulatory Health Care Facilities |
| Street Address |
1150 GLENLIVET DR A-21 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18106-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268600 | Orthopedic Physical Therapy Specialists, Inc. | Physical Therapist | 1150 Glenlivet Dr, Suite A14, Allentown, PA 18106-3112 | 2005-07-12 |
| 1477743433 | Karl Jay Glassman | Dentist | 1150 Glenlivet Dr, Suite C-38, Allentown, PA 18106-3112 | 2007-07-26 |
| 1023234580 | Iron Run Orthopedics | Clinic/Center | 1150 Glenlivet Dr, Building A, Suite 21, Allentown, PA 18106-3112 | 2007-04-17 |
| 1780745471 | Green Hills Family & Cosmetic Dentistry, P.C. | Dentist | 1150 Glenlivet Dr, Suite C-38, Allentown, PA 18106-3112 | 2006-12-13 |
| 1265593941 | Ari Reuben Forgosh | Dentist | 1150 Glenlivet Dr, Suite C-38, Allentown, PA 18106-3112 | 2006-12-13 |
| 1689750416 | Patrick Milo Sewards | Orthopaedic Surgery | 1150 Glenlivet Dr, Bldg A Suite 21, Allentown, PA 18106 | 2006-10-27 |
| 1558472621 | Valley Family Care, PC | Family Medicine | 1150 Glenlivet Dr, Suite B27, Allentown, PA 18106-3112 | 2006-08-31 |
| 1386682995 | Ann Evelyn Sadr | Psychologist | 1150 Glenlivet Dr, Suite A18, Allentown, PA 18106-3112 | 2006-06-04 |
| 1275504557 | Kimberly Anne Legg-corba | Family Medicine | 1150 Glenlivet Dr, Ste A17, Allentown, PA 18106 | 2006-01-27 |
| 1285627745 | Vu Nguyen | Family Medicine | 1150 Glenlivet Dr, Suite B27, Allentown, PA 18106-3112 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184760 | Planned Parenthood Keystone | Obstetrics & Gynecology | 5920 Hamilton Blvd Ste 201, Allentown, PA 18106 | 2018-05-16 |
| 1457870008 | Sara Elghandour | Registered Nurse | 4949 Liberty Lane, Suite 210, Allentown, PA 18106 | 2017-09-14 |
| 1023563293 | Dianne Michels | Counselor | 1011 Brookside Rd Ste 210, Allentown, PA 18106 | 2016-08-17 |
| 1487009791 | Costco Wholesale Corporation | Pharmacy | 791 N Krocks Rd, Allentown, PA 18106 | 2016-04-25 |
| 1679939938 | Jeremy James Falgout | Counselor | 1101 Brookside Rd, Suite 230, Allentown, PA 18106 | 2016-01-01 |
| 1285012740 | Progressive Surgical Institute Abe Inc | Clinic/Center | 5201 Hamilton Blvd., Allentown, PA 18106 | 2015-05-15 |
| 1477977031 | Amanda Shaffer Dobrowolski | Counselor | 1011 Brookside Rd Ste 220, Allentown, PA 18106 | 2014-02-18 |
| 1619264116 | Karen King | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106 | 2011-07-05 |
| 1538453162 | Patrick M. Sewards, Md, LLC | Clinic/Center | 1150 Glenlivet Dr., A-21, Allentown, PA 18106 | 2011-05-31 |
| 1790083178 | Amy J Silverman | Counselor | 1011 Brookside Rd Ste 240, Allentown, PA 18106 | 2011-03-08 |
| Find all providers in zip 18106 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538453162 | Patrick M. Sewards, Md, LLC | Clinic/Center | 1150 Glenlivet Dr., A-21, Allentown, PA 18106 | 2011-05-31 |
| 1396088795 | Sotirios A. Vasilopoulos, Md, PC | Clinic/Center | 1611 Pond Rd, Suite 101, Allentown, PA 18104-2258 | 2013-04-03 |
| 1023314606 | Gynecologic Oncology Services, LLC | Clinic/Center | 1611 Pond Rd, Suite 101, Allentown, PA 18104-2258 | 2011-01-31 |
| 1528388220 | Vida Nueva At Casa Guadalupe Ob | Clinic/Center | 218 N 2nd St, Allentown, PA 18102-3508 | 2010-06-03 |
| 1104996305 | Women's Health Consultants, LLC | Clinic/Center | 1611 Pond Rd, Ste 101, Allentown, PA 18104-2258 | 2006-11-08 |
| 1720094485 | Doklan Chiropractic | Clinic/Center | 1259 S Cedar Crest Blvd, Suite 317, Allentown, PA 18103-6372 | 2006-08-01 |
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|---|---|---|---|---|
| 1205434370 | Blue Mountain Regenerative Medicine Pllc | Clinic/Center | 124 E Main St., Fredericksburg, PA 17026-0152 | 2020-10-12 |
| 1134779473 | Specialty Medical Care Services, LLC | Clinic/Center | 18e S 7th St, Akron, PA 17501-1363 | 2019-09-18 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1992273890 | Sandpipermd, Inc. | Clinic/Center | 407 S 10th St Fl 2, Philadelphia, PA 19147-1274 | 2018-11-08 |
| 1578043592 | Greater Pittston Urology | Clinic/Center | 250 Kennedy Blvd Ste 2, Pittston, PA 18640-1814 | 2018-08-20 |
| 1871953737 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-04 |
| 1962872861 | Mb Integrative Medicine LLC | Clinic/Center | 6782 Germantown Ave, Philadelphia, PA 19119-2110 | 2015-10-05 |
| 1437528817 | Charles S. Yanofsky, Md | Clinic/Center | 120 Pelham Rd, Camp Hill, PA 17011-1352 | 2015-09-16 |
| 1134597735 | Rheumatology Care Specialists | Clinic/Center | 1786 Wilmington Pike Ste 100b, Glen Mills, PA 19342-8122 | 2015-09-13 |
| 1346639861 | Seraly Eye Care Associates LLC | Clinic/Center | 220 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2015-01-21 |
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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.