Individual provider Active NPI

Garry A. Hamilton, MD

  • Pediatrics Physician
  • East Stroudsburg, PA
National Provider Identifier
1396705596
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD423683 Issued in PA
Practice address
175 E Brown St Ste 108
Pocono Kids Pediatrics
East Stroudsburg, PA 18301-3098
Phone
(570) 476-3585
Fax
(570) 421-9014
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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 MD423683 PA Primary

Addresses

Primary practice location

175 E Brown St Ste 108
Pocono Kids Pediatrics
East Stroudsburg, PA 18301-3098

Mailing address

206 E Brown St
Pocono Healthcare Management - Professional BLDG.
E Stroudsburg, PA 18301-3006
Phone (570) 420-4951

Other identifiers 1

IdentifierTypeStateIssuer
1009373070001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001110 PA Practitioner - Pediatric Medicine 4880676337 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423683PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Family Care Centers Inc CurrentSince Dec 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Family Care Centers Inc. Pediatrics CurrentSince Dec 1, 2020 Accepting new patients
Monroe County Family Health Center Past Accepting new patients
Monroe County Family Health Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lehigh Valley Hospital Pocono Past Accepting new patients

Locations

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1611 Pond Rd
Ste 301
Allentown, PA 18104
Phone (610) 395-4300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

400 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 424-9555

175 E Brown St
Ste 2004
East Stroudsburg, PA 18301
Phone (570) 369-6482

175 E Brown St
Ste 108
East Stroudsburg, PA 18301
Phone (570) 421-3401

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

320 W Pumping Station Rd
Ste 4
Quakertown, PA 18951
Phone (215) 529-4270

205 Applegate Rd
Stroudsburg, PA 18360
Phone (570) 476-3585

100 Community Dr
Ste 102
Tobyhanna, PA 18466
Phone (570) 839-8754

Interoperability endpoints

  • Direct secure messaging: ghamilton103245@direct2.lvhn.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1396705596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MANAGEMENT - PROFESSIONAL BLDG.",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST STE 108",
            "address_2": "POCONO KIDS PEDIATRICS",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-476-3585",
            "fax_number": "570-421-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "GARRY",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD423683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009373070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.