NPIMap

Organization Active NPI

Palmerton Medical Assoc

  • Internal Medicine Physician
  • Palmerton, PA
National Provider Identifier
1174606909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD022172E Issued in PA
Legal business name
PALMERTON MEDICAL ASSOC
Practice address
135 Lafayette Avenue
2ND Floor
Palmerton, PA 18071
Phone
(610) 826-4420
Fax
(610) 826-6082
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kelly J Knappenberger
Title
Office Manager
Phone
(610) 826-4420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD022172E PA Primary
Internal Medicine Physician 207R00000X MD041437L PA

Addresses

Primary practice location

135 Lafayette Avenue
2ND Floor
Palmerton, PA 18071

Mailing address

135 Lafayette Avenue
2ND Floor
Palmerton, PA 18071
Phone (610) 826-4420

National Provider Directory

National Provider Directory

Locations

555 Delaware Ave
Palmerton, PA 18071
Phone (484) 426-2600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174606909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-4420",
            "fax_number": "610-826-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-4420",
            "fax_number": "610-826-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERTON MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNAPPENBERGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-826-4420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD022172E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041437L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.