Kevin Short (NPI# 1053673897, PAC ID# 1456662949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1053673897 |
| PAC ID by PECOS | 1456662949 |
| Professional Enrollment ID | I20150625000209 |
| Full Name | Kevin Short |
| Organization Legal Name | STAR WELLNESS CENTER INC |
| Address |
511 E 3rd St Suite 200 Bethlehem PA 18015-2072 |
| Phone Number | 4845264700 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7618215237 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| 390133 | LEHIGH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Hanover Ave, Allentown, PA 18109-2447 | 6104342000 | ALLENTOWN FAMILY FOOT CARE PROFESSIONAL CORPORATION |
| 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 | 4845264700 | STAR WELLNESS CENTER INC |
| Organization Legal Name | STAR WELLNESS CENTER INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda C Garufi | Family Medicine | Star Wellness Center Inc | 2830 Easton Ave, Bethlehem, PA 18017-4204 |
| Claudia Ferran | Family Medicine | Star Wellness Center Inc | 1501 Lehigh St, Suite 103, Allentown, PA 18103-3880 |
| Robert J Richey | Physician Assistant | Star Wellness Center Inc | 511 E 3rd St, Unit 301, Bethlehem, PA 18015-2096 |
| Jennifer Susan Episcopio | Obstetrics/gynecology | Star Wellness Center Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Sachin B Shenoy | Obstetrics/gynecology | Star Wellness Center Inc | 450 Chew St, Suite 204, Allentown, PA 18102-3434 |
| Loretta W Keil | Internal Medicine | Star Wellness Center Inc | 511 E 3rd St, Unit 301, Bethlehem, PA 18015-2096 |
| James E Phillips | Internal Medicine | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Lindsey A Tyrrell | Physician Assistant | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Lora Baker | Podiatry | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Jessica N Sosa-stanley | Obstetrics/gynecology | Star Wellness Center Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Street Address |
511 E 3RD ST SUITE 200 |
| City | BETHLEHEM |
| State | PA |
| Zip | 18015-2072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Hewitt Bernstein | Podiatry | St Lukes Physician Group Inc | 511 E 3rd St, 200 St Lukes Southside Medical Center, Bethlehem, PA 18015-2072 |
| Robert J Richey | Physician Assistant | Star Wellness Center Inc | 511 E 3rd St, Unit 301, Bethlehem, PA 18015-2096 |
| Loretta W Keil | Internal Medicine | Star Wellness Center Inc | 511 E 3rd St, Unit 301, Bethlehem, PA 18015-2096 |
| Justin P Psaila | Internal Medicine | St Lukes Physician Group Inc | 511 E 3rd St, 200 St Lukes Southside Medical Center, Bethlehem, PA 18015-2072 |
| James E Phillips | Internal Medicine | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Lindsey A Tyrrell | Physician Assistant | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Lora Baker | Podiatry | Star Wellness Center Inc | 511 E 3rd St, Suite 200, Bethlehem, PA 18015-2072 |
| Cara E Ruggeri | Internal Medicine | St Lukes Physician Group Inc | 511 E 3rd St, 200 St Lukes Southside Medical Center, Bethlehem, PA 18015-2072 |
| Daniel Paul Verges | Urology | St Lukes Physician Group Inc | 511 E 3rd St, 200 St Lukes Southside Medical Center, Bethlehem, PA 18015-2072 |
| Richele A Pica | Physician Assistant | Star Wellness Center Inc | 511 E 3rd St, Unit 301, Bethlehem, PA 18015-2096 |
| 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 | BETHLEHEM |
| Zip Code | 18015 |
| Specialty | PODIATRY |
| City + Specialty | BETHLEHEM + PODIATRY |
Please comment or provide details below to improve the information on Kevin Short.
| 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.