Lehigh Valley Physician Group
Organization Active NPI Nephrology Physician · Allentown, PA
NPI 1083766596 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1083766596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 1210 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6229 - Phone
- (610) 402-1150
- NPI assigned
- Jan 17, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
- Name
- Robert Knox
- Title
- Assoc Executive Director
- Phone
- (610) 798-4500
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- LVPG Psychiatry
- Part of
- LVPG Psychiatry
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
1210 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6229
Mailing address
PO Box 1754
Allentown, PA 18105-1754
Other names
- LVPG Internal Medicine Specialists
NPI Registry JSON
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1083766596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181051754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD",
"address_2": "SUITE 3600",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036229",
"telephone_number": "610-402-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"enumeration_date": "2007-01-17",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "KNOX",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ASSOC EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "610-798-4500"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LVPG Internal Medicine Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allentown, PA
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
All providers in Allentown, PA · Nephrology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.