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Lehigh Valley Physician Group

Organization Active NPI Durable Medical Equipment & Medical Supplies · Dickson City, PA

NPI 1174257513 · NPPES record last updated May 8, 2024

Key facts

NPI
1174257513
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Practice address
334 Main St Ste 220
Dickson City, PA 18519-1668
Phone
(570) 307-4191
Fax
(570) 307-4195
NPI assigned
Jul 12, 2022
Organization subpart
Yes
Parent organization (as reported)
LEHIGH VALLEY PHYSICIAN GROUP

Authorized official

Name
James Demopoulos
Title
Sr VP & Coo
Phone
(484) 862-3333

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2,515

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,515

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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
O20230418001379 PA DME Supplier - Orthotic Personnel 3072425123 Practice locations: Dickson City, PA

National Provider Directory

Tax ID family
LVPG Psychiatry (168 organizations share this tax ID)
Part of
LVPG Psychiatry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

334 Main St Ste 220
Dickson City, PA 18519-1668

Mailing address

334 Main St Ste 220
Dickson City, PA 18519-1668
Phone (570) 307-4191

Other names

  • LVHN Keystone Prosthetics & Orthotics Doing business as

Other providers in Dickson City, PA

All providers in Dickson City, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania

Sources for this page

Verify at the official NPI Registry.