Minimally Invasive Care Institute of Lehigh Valley LLC
Organization Active NPI Vascular Surgery Physician · Bethlehem, PA
NPI 1477083335 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1477083335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- MINIMALLY INVASIVE CARE INSTITUTE OF LEHIGH VALLEY LLC
- Practice address
- 3450 High Point Blvd Ste F
Bethlehem, PA 18017-7801 - Phone
- (484) 896-9880
- NPI assigned
- Jun 14, 2017
- Organization subpart
- No
Authorized official
- Name
- James F McGuckin, MD
- Title
- Ceo
- Phone
- (484) 896-9880
Practitioners 10
-
Ryan Michael Bonshock, M.D.
-
Aaron Opher Shiloh, M.D.
-
Mahmood Tahir, MD
-
Joseph D Eckstein, CRNP
-
Micah M Watts, MD
-
Mark Bennet Kahn, MD
National Provider Directory
Locations
3450 High Point Blvd
Ste F
Bethlehem, PA 18017
Phone (484) 403-1818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Vascular Surgery Physician |
2086S0129X | Yes | ||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Acute Care Nurse Practitioner |
363LA2100X |
Addresses
Primary practice location
3450 High Point Blvd Ste F
Bethlehem, PA 18017-7801
Mailing address
3450 High Point Blvd Ste F
Bethlehem, PA 18017-7801
Phone (484) 896-9880
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All providers in Bethlehem, PA · Vascular Surgery 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 May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.