Organization Active NPI

Medical Associates of the Lehigh Valley PC

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1245287028
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC
Practice address
827 W Wyoming St
Allentown, PA 18103-3961
Phone
(610) 435-8643
Fax
(610) 435-8270
NPI assigned
May 27, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Robert E Stover
Title
Executive Director
Phone
(610) 973-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

827 W Wyoming St
Allentown, PA 18103-3961

Mailing address

1901 W Hamilton St
Suite 100B
Allentown, PA 18104-6459
Phone (610) 973-1400

Other identifiers 3

IdentifierTypeStateIssuer
1439511OtherPAHIGHMARK PA BLUE SHIELD
03095600OtherPACAPITAL BLUE CROSS
CA1229OtherPAPALMETTO RR

National Provider Directory

National Provider Directory

Locations

1901 Hamilton St
Ste 100B
Allentown, PA 18104
Phone (610) 973-1410

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1245287028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HAMILTON ST",
            "address_2": "SUITE 100B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046459",
            "telephone_number": "610-973-1400",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W WYOMING ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033961",
            "telephone_number": "610-435-8643",
            "fax_number": "610-435-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-973-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "1439511",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03095600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR",
            "identifier": "CA1229",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.