Organization Active NPI

Bethlehem Surgical Center PC

  • Vascular Surgery Physician
  • Bethlehem, PA
National Provider Identifier
1043264161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
BETHLEHEM SURGICAL CENTER PC
Practice address
701 Ostrum St
Ste 504
Bethlehem, PA 18015-1153
Phone
(610) 867-2371
Fax
(610) 868-7889
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fernando Parayno Estrada, MD
Title
Owner
Phone
(610) 867-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

701 Ostrum St
Ste 504
Bethlehem, PA 18015-1153

Mailing address

701 Ostrum St
Ste 504
Bethlehem, PA 18015-1153
Phone (610) 867-2371

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043264161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 504",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151153",
            "telephone_number": "610-867-2371",
            "fax_number": "610-868-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 504",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151153",
            "telephone_number": "610-867-2371",
            "fax_number": "610-868-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "PARAYNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-867-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.