NPIMap

Organization Active NPI

Sacred Heart Healthcare System

Doing business as Hanover Family Medical Group

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1326008228
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SACRED HEART HEALTHCARE SYSTEM
Doing business as
Hanover Family Medical Group
Practice address
1210 Hanover Ave
Allentown, PA 18109-2017
Phone
(610) 437-6490
Fax
(610) 437-4151
NPI assigned
Mar 24, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Mr. Stephen A Lanshe
Title
VP Legal Affairs
Phone
(610) 776-5141

Specialties & licenses 1

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

Addresses

Primary practice location

1210 Hanover Ave
Allentown, PA 18109-2017

Mailing address

421 W Chew St
Physician Accounts
Allentown, PA 18102-3406
Phone (610) 776-5100

Other identifiers 7

IdentifierTypeStateIssuer
0006472OtherAETNA HMO
1519695OtherGATEWAY ASSURED
47661OtherAMERIHEALTH MERCY HEALTH
564229OtherPAHIGHMARK BLS GROUP #
02400200OtherPACBC GROUP #
5844495OtherAETNA PPO
0218423001OtherIBC

Other names 1

  • Hanover Family Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1210 Hanover Ave
Allentown, PA 18109
Phone (610) 437-6490

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1326008228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "address_2": "PHYSICIAN ACCOUNTS",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092017",
            "telephone_number": "610-437-6490",
            "fax_number": "610-437-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LANSHE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "610-776-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0006472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY ASSURED",
            "identifier": "1519695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH",
            "identifier": "47661",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLS GROUP #",
            "identifier": "564229",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC GROUP #",
            "identifier": "02400200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5844495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0218423001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Family Medical Group",
            "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 25, 2009; 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.