NPIMap

Individual provider Active NPI

Andrew Dean Shoemaker

  • Obstetrics & Gynecology Physician
  • Lehighton, PA
National Provider Identifier
1215355755
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD462377 Issued in PA
Practice address
281 N 12TH St Ste F
Lehighton, PA 18235-1101
Phone
(610) 377-5959
Fax
(610) 379-0034
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD462377 PA Primary

Addresses

Primary practice location

281 N 12TH St Ste F
Lehighton, PA 18235-1101

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

2494 Bernville Rd Ste 100
Reading, PA 19605
Phone (610) 378-2899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625001221 PA Practitioner - Obstetrics/Gynecology 9739302993 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1627 Chew St
Allentown, PA 18102-3648

281 N 12TH St F
LVPG Obstetrics and Gynecology
Lehighton, PA 18235-1101
Phone (610) 377-5959

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD462377PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc CurrentSince Jun 17, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 10, 2020 Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology CurrentSince Jun 17, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 10, 2020 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Hazleton Professional Services Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 31, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1627 Chew St
Ste 101
Allentown, PA 18102

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1107 Grosser Rd
Ste 200
Gilbertsville, PA 19525

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

281 N 12th St
Ste F
Lehighton, PA 18235
Phone (610) 377-5959

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1215355755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N 12TH ST STE F",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351101",
            "telephone_number": "610-377-5959",
            "fax_number": "610-379-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2494 Bernville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "19605",
            "country_code": "US",
            "telephone_number": "610-378-2899",
            "fax_number": "610-378-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "ANDREW",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD462377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.