Active NPI
Lehigh Valley Physician Group
- Family Medicine Physician
- Schnecksville, PA
National Provider Identifier
1104060896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 4520 Park View Dr
Schnecksville, PA 18078-2552 - Phone
- (610) 799-4241
- Fax
- (610) 799-4244
- NPI assigned
- Apr 24, 2009
- Organization subpart
- Yes
- Parent organization
- LEHIGH VALLEY PHYSICIAN GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Callahan
- Title
- Associate Executive Director of Fin
- Phone
- (610) 798-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4520 Park View Dr
Schnecksville, PA 18078-2552
Mailing address
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410
Other names 1
- Parkland Family Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- LVPG Psychiatry
- Part of
- LVPG Psychiatry
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Allentown, PA
- NPI 1003662412
-
- Durable Medical Equipment & Medical Supplies
- Dickson City, PA
- NPI 1013617992
-
- Diagnostic Radiology Physician
- Allentown, PA
- NPI 1033094289
-
- Maternal & Fetal Medicine Physician
- Allentown, PA
- NPI 1053495341
-
- Psychiatry Physician
- Allentown, PA
- NPI 1063656270
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1063656643
-
- Internal Medicine Physician
- Easton, PA
- NPI 1063950038
-
- Nephrology Physician
- Allentown, PA
- NPI 1083766596
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1083858666
-
- Surgery Physician
- Allentown, PA
- NPI 1104195684
-
- Durable Medical Equipment & Medical Supplies
- Lehighton, PA
- NPI 1104526086
-
- Pediatrics Physician
- Allentown, PA
- NPI 1104990969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1104060896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD",
"address_2": "SUITE 110B",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042351",
"telephone_number": "610-973-1410",
"fax_number": "610-973-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 PARK VIEW DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782552",
"telephone_number": "610-799-4241",
"fax_number": "610-799-4244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"enumeration_date": "2009-04-24",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR OF FIN",
"authorized_official_telephone_number": "610-798-4500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkland Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Schnecksville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.