Individual provider Active NPI

Robert William Childs, M.D.

  • Pediatrics Physician
  • Bethlehem, PA
National Provider Identifier
1326194648
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-014506-E Issued in PA
Practice address
Lehigh Valley Physician Business Services
1650 Valley Center Parkway, Suite 100
Bethlehem, PA 18017-3234
Phone
(484) 884-4436
Fax
(484) 884-7367
NPI assigned
Jan 27, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-014506-E PA Primary

Addresses

Primary practice location

Lehigh Valley Physician Business Services
1650 Valley Center Parkway, Suite 100
Bethlehem, PA 18017-3234

Mailing address

Pediatric Associates of Hazleton
1000 Alliance Drive
Hazleton, PA 18202-3234
Phone (570) 501-6400

Other identifiers 7

IdentifierTypeStateIssuer
81001OtherPAUNISON
0005875560006MedicaidPA
12004OtherPAGEISINGER HEALTH PLAN
170494OtherPABLU CROSS BLUE SHIELD
558825OtherPAAETNA
P3287365OtherPAOXFORD
003004OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-014506-EPAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1326194648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC ASSOCIATES OF HAZLETON",
            "address_2": "1000 ALLIANCE DRIVE",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182023234",
            "telephone_number": "570-501-6400",
            "fax_number": "570-453-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEHIGH VALLEY PHYSICIAN BUSINESS SERVICES",
            "address_2": "1650 VALLEY CENTER PARKWAY, SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173234",
            "telephone_number": "484-884-4436",
            "fax_number": "484-884-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-014506-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "81001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005875560006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "12004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU CROSS BLUE SHIELD",
            "identifier": "170494",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "558825",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3287365",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "003004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.