Active NPI
Kathryn A Davie, PA-C
- Medical Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA062980
- Practice address
- 1200 S Cedar Crest Blvd
Allentown, PA 18103-6202 - Phone
- (610) 402-8111
- Fax
- (610) 402-1698
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA062980 | PA | Primary |
Addresses
Primary practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 629-2282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA062980 | Other | PA | SATE LICENSE |
Other names 1
- Kathryn Gill
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211021002070 | PA | Practitioner - Physician Assistant | 2163810243 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355
1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
5649 Wynnewood Dr
Laurys Station, PA 18059-1124
Hospital & facility affiliations
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Macungie
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062980 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
Organizations & group practices 6
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.
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Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1093477556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-629-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202",
"telephone_number": "610-402-8111",
"fax_number": "610-402-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIE",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA062980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SATE LICENSE",
"identifier": "MA062980",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GILL",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.