Organization Active NPI

Lehigh Physician Group

  • Durable Medical Equipment & Medical Supplies
  • Brodheadsville, PA
National Provider Identifier
1477207173
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEHIGH PHYSICIAN GROUP
Practice address
111 Switzgabel Dr
Brodheadsville, PA 18322-7120
Phone
(484) 884-3025
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
James Demopoulos
Title
Sr VP & Coo LVPG
Phone
(484) 862-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

111 Switzgabel Dr
Brodheadsville, PA 18322-7120

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-3025

National Provider Directory

National Provider Directory
Part of
Lehigh Vly Phy GP

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1477207173",
    "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": "484-884-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SWITZGABEL DR",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227120",
            "telephone_number": "484-884-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "DEMOPOULOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR VP & COO LVPG",
        "authorized_official_telephone_number": "484-862-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.