Active NPI
Lehigh Valley Physician Group
- Family Medicine Physician
- Schnecksville, PA
National Provider Identifier
1003050790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 4955 Route 873
Suite B
Schnecksville, PA 18078-2268 - Phone
- (610) 799-4100
- NPI assigned
- Apr 24, 2009
- Organization subpart
- Yes
- Parent organization
- LEHIGH VALLEY PHYSICIAN GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Callahan
- Title
- Associate Exec Director of Finance
- Phone
- (610) 798-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4955 Route 873
Suite B
Schnecksville, PA 18078-2268
Mailing address
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Other names 1
- Kenneth G. Ryder, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0934564 | Kenneth G Ryder MD | Provider-performed microscopy | Oct 7, 2027 |
National Provider Directory
National Provider Directory- Part of
- LVPG Psychiatry
Locations
2400 Chew St
Fl 2
Allentown, PA 18104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1306897426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1003050790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD",
"address_2": "SUITE 110B",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 ROUTE 873",
"address_2": "SUITE B",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782268",
"telephone_number": "610-799-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"enumeration_date": "2009-04-24",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSOCIATE EXEC DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "610-798-4500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenneth G. Ryder, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Schnecksville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.