NPIMap

Individual provider Active NPI

Clinton Holumzer, MD

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1124078423
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD072002L Issued in PA
Practice address
2649 Schoenersville Rd
Suite 201
Bethlehem, PA 18017-7326
Phone
(610) 868-6880
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD072002L PA Primary

Addresses

Primary practice location

2649 Schoenersville Rd
Suite 201
Bethlehem, PA 18017-7326

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000194 PA Practitioner - Internal Medicine 0941240352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Rehabilitation and Fitness, Inc.Group PAC ID 5799741690, 16 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

15 -17 Microlab Rd
Suite 101
Livingston, NJ 07039-1623

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-9677

Hospital & facility affiliations

  • Lehigh Valley Home Care Home health agency, Allentown, PA, CCN 397023
  • Lehigh Valley Hospice Hospice, Allentown, PA, CCN 391521
  • St Luke'S Hospice Hospice, Bethlehem, PA, CCN 391535
  • Family Pillars Hospice Inc Hospice, Bethlehem, PA, CCN 391757
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035
  • Northampton County-Gracedale Nursing home, Nazareth, PA, CCN 395476
  • Good Shepherd Home-Bethlehem Nursing home, Bethlehem, PA, CCN 396108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072002LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2007 Accepting new patients
County of Northampton Past Accepting new patients
Jefferson University Physicians Internal Medicine Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Good Shepherd Home Long Term Care Facility, Inc Past Accepting new patients

Locations

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

1770 Bathgate Rd
Fl 4
Bethlehem, PA 18017

2649 Schoenersville Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 868-6833

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

2 Gracedale Ave
Nazareth, PA 18064
Phone (610) 746-1900

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Good Shepherd Home-BethlehemBethlehem, PA, CCN 396108 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2004
Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1124078423",
    "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": "2649 SCHOENERSVILLE RD",
            "address_2": "SUITE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177326",
            "telephone_number": "610-868-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUMZER",
        "first_name": "CLINTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD072002L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.