Active NPI
St. Michael's Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Lehighton, PA
National Provider Identifier
1396910964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ST. MICHAEL'S MEDICAL, LLC
- Practice address
- 145 S 1St St
Suite a
Lehighton, PA 18235-2003 - Phone
- (610) 377-3255
- Fax
- (610) 377-3297
- NPI assigned
- Apr 24, 2008
- Last updated
- Jan 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna M Graham
- Title
- Partner
- Phone
- (610) 377-3255
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
145 S 1St St
Suite a
Lehighton, PA 18235-2003
Mailing address
145 S 1St St
Suite a
Lehighton, PA 18235-2003
Phone (610) 377-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021692440001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
145 S 1st St
#A
Lehighton, PA 18235
Phone (610) 377-3255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231113600000",
"number": "1396910964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S 1ST ST",
"address_2": "SUITE A",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182352003",
"telephone_number": "610-377-3255",
"fax_number": "610-377-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S 1ST ST",
"address_2": "SUITE A",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182352003",
"telephone_number": "610-377-3255",
"fax_number": "610-377-3297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MICHAEL'S MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2009-01-05",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "610-377-3255",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021692440001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehighton, PA
- St. Luke's Physician Group, Inc (St. Luke's General Surgery Lehighton)
- St. Luke's Physician Group, Inc. (St. Luke's Gyn Associates of Carbon and Schuylkill)
- St. Luke's Physician Group, Inc.
- St. Luke's Physician Group, Inc. (Carbon Surgical Associates)
- St. Luke's Physician Group, Inc. (Franklin Township Medical Associates)
- Stalwart Emergency Physicians, PPLC
- Lisa Dawn Starr, BA, AAS, MSN, PMHNP
- Steigerwalt Chiropractic
- Daniel W Steigerwalt, D.C.
- Stephanie Guntner Steigerwalt, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.