Lehigh Valley Physician Group
Organization Active NPI Emergency Medicine Physician · Nesquehoning, PA
NPI 1407248487 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1407248487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 426 W Railroad St
Nesquehoning, PA 18240-1414 - Phone
- (484) 884-0183
- NPI assigned
- Feb 27, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
- Name
- John Berzinsky
- Title
- VP Cfo
- Phone
- (484) 884-4500
Practitioners 28
-
Tina M Calhoun, D.O.
-
Travis Dayon, M.D.
-
Jeffrey Faidley, MD
-
Holly Gawel, PA-C
-
Tina Marie George, M.D.
-
Gregory Jones, PA
-
Amogh M Joshi, DO
-
Jonathan Kochuba, D.O.
-
Thomas Lakata, D.O.
-
Spencer Phillip Lambert, PA-C
-
Lino Frank Miele, M.D.
-
Allison Lynn Rostocki, CRNP
-
Kamalesh Shah, M.D.
-
Marianne Lee Smalley, M.D.
-
James Wertz, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- LVPG Psychiatry
Locations
1230 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-8950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
426 W Railroad St
Nesquehoning, PA 18240-1414
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other names
- LVPG Expresscare - Nesquehoning
Other providers in Nesquehoning, PA
- James Hunsicker
- Hunter Health Inc
- Nicole Inama
- John Bosi DO,PC
- Hayley Nicole Josefowicz
- Delrey Marie McArdle
- Amanda Mechling
- Jaelyn Reid Mitchell
- Marissa Nesgoda
- Nesquehoning Ambulance Corps
All providers in Nesquehoning, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.