Active NPI
Lehigh Valley Physician Group
- Obstetrics & Gynecology Physician
- Allentown, PA
National Provider Identifier
1245329317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 1627 W Chew St
Allentown, PA 18102-3648 - Phone
- (610) 969-1600
- NPI assigned
- Oct 12, 2006
- Organization subpart
- Yes
- Parent organization
- LEHIGH VALLEY PHYSICIAN GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Demopoulos
- Title
- Sr VP/Coo
- Phone
- (484) 862-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1627 W Chew St
Allentown, PA 18102-3648
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Other names 1
- LVPG Center For Womens Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- LVPG Psychiatry
Practitioners & affiliated clinicians
Practitioners 37
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
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- NPI 1154399194
-
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- NPI 1891052569
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- Allentown, PA
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- Allentown, PA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645228800000",
"number": "1245329317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 W CHEW ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023648",
"telephone_number": "610-969-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"enumeration_date": "2006-10-12",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A",
"authorized_official_last_name": "DEMOPOULOS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "SR VP/COO",
"authorized_official_telephone_number": "484-862-3333"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LVPG Center For Womens Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LVPG Center For Womens Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 19, 2022; 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.