Individual provider Active NPI

Melissa Harrison, DO

  • Anesthesiology Physician
  • Allentown, PA
National Provider Identifier
1073504924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS 012020 Issued in PA
Practice address
1736 W Hamilton St
Allentown, PA 18104-5656
Phone
(610) 628-8372
Fax
(610) 628-8648
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS 012020 PA Primary

Addresses

Primary practice location

1736 W Hamilton St
Allentown, PA 18104-5656

Mailing address

24 S 18TH St
Allentown, PA 18104-5622
Phone (610) 628-8372

Other identifiers 1

IdentifierTypeStateIssuer
100993075MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000625 PA Practitioner - Anesthesiology 0446246474 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 012020PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Dec 1, 2021 Accepting new patients
Northeastern Anesthesia Physicians P.C. Anesthesiology CurrentSince Jul 12, 2004 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 6, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 6, 2024 Accepting new patients
Professional Anesthesia Services of North America P.C. Anesthesiology CurrentSince Dec 8, 2021 Accepting new patients

Locations

200 Broadway
Ste 3149
Brooklyn, NY 11211

24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

1569 Medical Dr
Ste 202
Pottstown, PA 19464
Phone (484) 945-0075

575 E Norwegian St
Pottsville, PA 17901
Phone (570) 622-1200

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

404 2nd Street Pike
Southampton, PA 18966

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073504924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 18TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045622",
            "telephone_number": "610-628-8372",
            "fax_number": "610-628-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045656",
            "telephone_number": "610-628-8372",
            "fax_number": "610-628-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS 012020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100993075",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.