Lehigh Valley Physician Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEHIGH VALLEY PHYSICIAN GROUP

Practice address

1411 Jacobsburg Rd
Wind Gap, PA 18091-9788

Phone

(484) 884-3025

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By 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

James Demopoulos

Title

Sr VP & Coo LVPG

Phone

(484) 862-3333

Specialties & licenses 1

Addresses

Part of

Lehigh Vly Phy GP

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1275287971",
    "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",
            "telephone_number": "484-884-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 JACOBSBURG RD",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180919788",
            "telephone_number": "484-884-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "DEMOPOULOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR VP & COO LVPG",
        "authorized_official_telephone_number": "484-862-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Kleinman, PAC
• Lauren E Kresge
• Kelly Victoria Krickus
• Colby Kulig
• Lehigh Valley Physician Group (LVPG Family Medicine - Wind Gap)
• Life Change Health P.C. (A. B. DeFranco Family and Alternative Medicine)
• Mark Andrew Llewellyn, MPT
• Kristin Erika Lovgren, MSW, LSW
• LVHN Coordinated Professional Practice
• Mark W. Powell, M.D. and Sheila M. Borick, M.D. (Wind Gap Family Practice)

• Durable Medical Equipment & Medical Supplies in Wind Gap, PA
• Providers in Wind Gap, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.