NPIMap

Individual provider Active NPI

Lauren Gradwell, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1275010407
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059914 Issued in PA
Practice address
1736 Hamilton St
Allentown, PA 18104-5656
Phone
(610) 628-8300
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059914 PA Primary
Physician Assistant 363A00000X OA004533 PA

Addresses

Primary practice location

1736 Hamilton St
Allentown, PA 18104-5656

Mailing address

8935 Wertman Rd
Fogelsville, PA 18051-2041
Phone (484) 264-2220

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
I20181210002445 PA Practitioner - Physician Assistant 6507100039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otorhinolaryngology Associates PCGroup PAC ID 9032289632, 4 clinicians

Practice addresses (Care Compare)

217 Franklin Ave
Suite 100
Palmerton, PA 18071-1521
Phone (610) 824-5050

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059914PAMDPhysician Assistant
OA004533PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Oct 14, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 14, 2018 Accepting new patients

Locations

3050 Hamilton Blvd
Ste 210
Allentown, PA 18103
Phone (610) 395-8224

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

217 Franklin Ave
Ste 100
Palmerton, PA 18071
Phone (610) 824-5050

Organizations & group practices 6

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 11

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1275010407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8935 WERTMAN RD",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180512041",
            "telephone_number": "484-264-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045656",
            "telephone_number": "610-628-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADWELL",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059914",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.