Organization Active NPI

Sacred Heart Healthcare System

Doing business as Sacred Heart Primary Care

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1023079886
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SACRED HEART HEALTHCARE SYSTEM
Doing business as
Sacred Heart Primary Care
Practice address
3570 Hamilton Blvd
Suite 201
Allentown, PA 18103-4541
Phone
(610) 433-7481
Fax
(610) 433-3991
NPI assigned
Mar 31, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen A Lanshe
Title
VP Legal Affairs
Phone
(610) 776-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3570 Hamilton Blvd
Suite 201
Allentown, PA 18103-4541

Mailing address

421 W Chew St
Physician Accounts
Allentown, PA 18102-3406
Phone (610) 776-5100

Other identifiers 5

IdentifierTypeStateIssuer
1519302OtherGATEWAY HEALTH PLAN
334203OtherPAHIGHMARK BLS GROUP NUMBER
0125575OtherAETNA HMO
03162800OtherPACBC GROUP NUMBER
5265574OtherAETNA PPO

Other names 1

  • Sacred Heart Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

3570 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (610) 433-7481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1023079886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "address_2": "PHYSICIAN ACCOUNTS",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HAMILTON BLVD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034541",
            "telephone_number": "610-433-7481",
            "fax_number": "610-433-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LANSHE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "610-776-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1519302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLS GROUP NUMBER",
            "identifier": "334203",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0125575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC GROUP NUMBER",
            "identifier": "03162800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5265574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.