Charles L Ludivico (NPI# 1750439147, PAC ID# 0446202295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1750439147 |
| PAC ID by PECOS | 0446202295 |
| Professional Enrollment ID | I20120220000998 |
| Full Name | Charles L Ludivico |
| Organization Legal Name | EAST PENN RHEUMATOLOGY ASSOCIATES, P.C. |
| Address |
701 Ostrum St Suite 302 Fountain Hill PA 18015-1152 |
| Phone Number | 6108681336 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 2062491483 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 390330 | ST LUKE'S HOSPITAL - MONROE CAMPUS |
| 390183 | ST LUKE'S MINERS MEMORIAL HOSPITAL |
| 390201 | LEHIGH VALLEY HOSPITAL - POCONO |
| Address | Phone | Organization |
|---|---|---|
| 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 | 4845264700 | STAR WELLNESS CENTER INC |
| 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1152 | 6108681336 | EAST PENN RHEUMATOLOGY ASSOCIATES, P.C. |
| Organization Legal Name | EAST PENN RHEUMATOLOGY ASSOCIATES, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy K Mcfadden | Nurse Practitioner | East Penn Rheumatology Associates, P.C. | 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1152 |
| Street Address |
701 OSTRUM ST SUITE 302 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip | 18015-1152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Diane Dauer | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Antonio Di Carlo | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Sanjiv Dewan | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Yecheskel Schneider | Gastroenterology | St Lukes Physician Group Inc | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1152 |
| Rick A Pendzick | Physician Assistant | St Lukes Physician Group Inc | 701 Ostrum St, Fountain Hill, PA 18015-1153 |
| Sarah Fakete | Physician Assistant | St Lukes Physician Group Inc | 701 Ostrum St, Fountain Hill, PA 18015-1153 |
| Leonard Mason | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Dawn'c Wilkes | Family Medicine | St Lukes Physician Group Inc | 701 Ostrum St, Suite 202, Fountain Hill, PA 18015-1152 |
| Meredith L Birsner | Obstetrics/gynecology | St Lukes Physician Group Inc | 701 Ostrum St, Suite 303, Fountain Hill, PA 18015-1152 |
| Roberto C Castillo | General Surgery | St Lukes Physician Group Inc | 701 Ostrum St, Suite 202, Fountain Hill, PA 18015-1152 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Semonche | Internal Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Hasan Bayat | Hospitalist | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jessica L Fenner | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Kristen N Scholz | Nurse Practitioner | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Donald D Diverio | Orthopedic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Beth L Valderrama | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Stephen A Olenchock Jr. | Thoracic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Rebecca R Rasmuson | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jorge S Picado | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| John E Connelly | Family Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Find all physicians in zip 18015 | |||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | FOUNTAIN HILL + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Charles L Ludivico.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.