Pediatric Neurology of Lehigh Valley, PC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

MD431769 Issued in PA

Legal business name

PEDIATRIC NEUROLOGY OF LEHIGH VALLEY, PC

Practice address

1517 Pond Rd
2ND Floor
Allentown, PA 18104-2253

Phone

(484) 201-1126

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Bickert

Title

Office Manager

Phone

(484) 201-1126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Boosara Ratanawongsa, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Allentown, PA
  • NPI 1700949286
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1174929897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 POND RD",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042253",
            "telephone_number": "484-201-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 POND RD",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042253",
            "telephone_number": "484-201-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY OF LEHIGH VALLEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BICKERT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "484-201-1126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD431769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Perry Pearce Pearson
• Richard C Pearce, MD
• Rita M Pechulis, MD
• Linda Ann Peddigree, CRNP
• Pediatric Educational & Diagnostic Services, LTD (PEDS, ltd)
• Pediatric Therapy Associates of the Lehigh Valley, PC
• Peer Drug and Alcohol Program
• Ann J Peiffer, PA
• Mark T. Peleschak, CRNA
• Colleen Madden Pellegrino, LCSW, ACS

• Neurology with Special Qualifications in Child Neurology Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.