Active NPI
Lehigh Valley Hospital Inc.
- Diagnostic Radiology Physician
- Fleetwood, PA
National Provider Identifier
1124553490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LEHIGH VALLEY HOSPITAL INC.
- Practice address
- 14351 Kutztown Rd
Fleetwood, PA 19522 - Phone
- (610) 944-8800
- NPI assigned
- Apr 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ed O'Dea
- Title
- Cfo and Sr. Vice President
- Phone
- (610) 402-7504
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Mobile Radiology Clinic/Center | 261QR0208X |
Addresses
Primary practice location
14351 Kutztown Rd
Fleetwood, PA 19522
Mailing address
2100 Mack Blvd
PO Box 4000
Allentown, PA 18105-4000
Phone (484) 884-3025
National Provider Directory
National Provider Directory- Tax ID family
- Healtheast Laboratories
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1124553490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD",
"address_2": "PO BOX 4000",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181054000",
"telephone_number": "484-884-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14351 KUTZTOWN RD",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "19522",
"telephone_number": "610-944-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY HOSPITAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "O'DEA",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "CFO AND SR. VICE PRESIDENT",
"authorized_official_telephone_number": "610-402-7504"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleetwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.