Active NPI
Sophia Michailidis, DO
- Obesity Medicine (Family Medicine) Physician
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- OS008048L
- Practice address
- 3701 Corriere Rd Ste 25
Easton, PA 18045-7991 - Phone
- (484) 591-7000
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS008048L | PA | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 246455 | MA | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | OS008048L | PA | Primary |
Addresses
Primary practice location
3701 Corriere Rd Ste 25
Easton, PA 18045-7991
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI464401 | Other | PA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1243 S Cedar Crest Blvd
2200 LVPG Bariatric Medicine
Allentown, PA 18103-6268
Phone (610) 402-2500
Hospital & facility affiliations
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246455 | MA | MD | Obesity Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103
Phone (610) 402-2500
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
3800 Sierra Cir
Ste 115
Center Valley, PA 18034
Phone (484) 664-2480
100 N Academy Ave
Danville, PA 17822
3701 Corriere Rd
Ste 15
Easton, PA 18045
Phone (484) 591-7020
1580 Center Ave
Jim Thorpe, PA 18229
Phone (570) 325-2705
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
3701 Corriere Rd
Ste 25
Palmer Township, PA 18045
Phone (484) 591-7000
Interoperability endpoints
- smichailidis177338@direct2.lvhn.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1023049657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-884-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 CORRIERE RD STE 25",
"city": "EASTON",
"state": "PA",
"postal_code": "180457991",
"telephone_number": "484-591-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAILIDIS",
"first_name": "SOPHIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS008048L",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "MA",
"license": "246455",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "PA",
"license": "OS008048L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MI464401",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.