NPIMap

Organization Active NPI

CHS Professional Practice, P.C.

  • Internal Medicine Physician
  • Wind Gap, PA
National Provider Identifier
1295079473
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHS PROFESSIONAL PRACTICE, P.C.
Practice address
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Phone
(610) 861-8080
Fax
(610) 452-3016
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Amy Nyberg
Title
President & Coo
Phone
(610) 861-8080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1411 Jacobsburg Rd
Wind Gap, PA 18091-9788

Mailing address

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Other names 1

  • COORDINATED HEALTH PRIMARY CARE-WIND GAP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHS Professional Practice PC30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1295079473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-861-0854"
        },
        {
            "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": "610-861-8080",
            "fax_number": "610-452-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PROFESSIONAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "610-861-8080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COORDINATED HEALTH PRIMARY CARE-WIND GAP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COORDINATED HEALTH PRIMARY CARE-WIND GAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wind Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.