NPIMap

Individual provider Active NPI

Kenneth R Sharp, DO

  • Family Medicine Physician
  • Lehighton, PA
National Provider Identifier
1356340269
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010664L Issued in PA
Practice address
363 N 1St St
Lehighton, PA 18235-1450
Phone
(484) 464-9510
Fax
(484) 464-9515
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010664L PA Primary

Addresses

Primary practice location

363 N 1St St
Lehighton, PA 18235-1450

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other identifiers 12

IdentifierTypeStateIssuer
00000015397OtherPATHREE RIVERS/MEDPLUS IND.
002653OtherPAFIRST PRIORITY INDIV.NUM.
001847462MedicaidPA
02292600OtherPACAPITAL BLUE SHIELD GROUP
CE2338OtherPARAILROAD MEDICARE GRP.NUM
P3303851OtherPAOXFORD HEALTH PLAN
020286200OtherPAFEDERAL BLACK LUNG
50036350OtherPACAPITAL BLUE CROSS INDIV.
P00106254OtherPARAILROAD MEDICARE INDIV.
000000131265OtherPATHREE RIVERS/MEDPLUS GRP.
CA869935OtherPABLUE SHIELD GROUP NUMBER
SH1300891OtherPABLUE SHIELD IND. ID NUM

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
I20040426000388 PA Practitioner - Family Practice 1254327091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

141 E Emmaus Ave
LVPG Family Medicine
Allentown, PA 18103-5824
Phone (610) 791-5930

Hospital & facility affiliations

  • Lehigh Valley Home Care Hazleton Home health agency, Hazleton, PA, CCN 397455
  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2018 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
CMS Medical Care Corporation Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

141 E Emaus Ave
Allentown, PA 18103
Phone (610) 365-3266

4541 Milford Rd
East Stroudsburg, PA 18302
Phone (570) 395-2514

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1638 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (484) 464-9510

363 N 1st St
Lehighton, PA 18235
Phone (484) 464-9510

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Interoperability endpoints

  • Direct secure messaging: ksharp102186@direct2.lvhn.org

Organizations & group practices 8

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 8

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1356340269",
    "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": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N 1ST ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351450",
            "telephone_number": "484-464-9510",
            "fax_number": "484-464-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010664L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS/MEDPLUS IND.",
            "identifier": "00000015397",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY INDIV.NUM.",
            "identifier": "002653",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001847462",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE SHIELD GROUP",
            "identifier": "02292600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP.NUM",
            "identifier": "CE2338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3303851",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020286200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS INDIV.",
            "identifier": "50036350",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIV.",
            "identifier": "P00106254",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS/MEDPLUS GRP.",
            "identifier": "000000131265",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "CA869935",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IND. ID NUM",
            "identifier": "SH1300891",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.