Allentown Medical Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD417375 Issued in PA

Legal business name

ALLENTOWN MEDICAL CLINIC INC

Practice address

221 N Cedar Crest Blvd
Allentown, PA 18104-4603

Phone

(610) 457-5090

NPI assigned

Jul 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Samer Shamsi Basha, M.D.NPI 1548327802

Title

President

Phone

(610) 457-5090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samer S. Basha, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1548327802
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1033561972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180520727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044603",
            "telephone_number": "610-457-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-03",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "SHAMSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-457-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD417375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allentown Limb & Brace, Inc.
• Allentown Medical Serices
• Allentown Pharmacy Inc
• Allentown Radiation Oncology Associates PC
• Allentown Rescue Mission
• Allentown School District

• Primary Care Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.