Lehigh Valley Physician Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEHIGH VALLEY PHYSICIAN GROUP

Doing business as

Eagle Point Family Medicine

Practice address

5505 Macarthur Rd
Whitehall, PA 18052-1605

Phone

(610) 262-2706

Fax

(610) 262-2707

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

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

Authorized official

Name

Michael Callahan

Title

Associate Executive Dir. of Finance

Phone

(610) 798-4500

Specialties & licenses 1

Addresses

Other names 1

• Eagle Point Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Lehigh Vly Phy GP

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1235439977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 MACARTHUR RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180521605",
            "telephone_number": "610-262-2706",
            "fax_number": "610-262-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIR. OF FINANCE",
        "authorized_official_telephone_number": "610-798-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Point Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Whitehall, PA
• Providers in Whitehall, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.