Active NPI
John S Kintzer Jr., M.D.
- Pulmonary Disease Physician
- Fountain Hill, PA
National Provider Identifier
1144257932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD018540E
- Practice address
- 709 Delaware Ave
Fountain Hill, PA 18015-1107 - Phone
- (610) 954-3890
- Fax
- (610) 954-3046
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD018540E | PA | |
| Pulmonary Disease Physician | 207RP1001X | MD018540E | PA | Primary |
Addresses
Primary practice location
709 Delaware Ave
Fountain Hill, PA 18015-1107
Mailing address
709 Delaware Ave
Fountain Hill, PA 18015-1107
Phone (610) 954-3890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0783431 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital | Past | Accepting new patients | |
| St. Luke'S Hospital | Past | Accepting new patients |
Organizations & group practices 2
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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- Bethlehem, PA
- NPI 1437356441
-
- Physician Assistant
- Bethlehem, PA
- NPI 1982798088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1144257932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 DELAWARE AVE",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180151107",
"telephone_number": "610-954-3890",
"fax_number": "610-954-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 DELAWARE AVE",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180151107",
"telephone_number": "610-954-3890",
"fax_number": "610-954-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINTZER",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "MD018540E",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD018540E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0783431",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.