Individual provider Active NPI

Karine Thevenin, DO

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1548405913
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MR1155400 Issued in NJ
Practice address
141 E Emaus Ave
Allentown, PA 18103-5824
Phone
(610) 791-5930
Fax
(610) 791-2157
NPI assigned
Dec 12, 2008
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014601 PA
Family Medicine Physician 207Q00000X 25MR1155400 NJ Primary

Addresses

Primary practice location

141 E Emaus Ave
Allentown, PA 18103-5824

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

641 US Highway 130
Hamilton, NJ 08691-2101
Phone (609) 568-9383

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20090803000585 PA Practitioner - Family PracticePractitioner - General Practice 0941353361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

141 E Emmaus Ave
LVPG Family Medicine
Allentown, PA 18103-5824
Phone (610) 791-5930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MR1155400NJMDFamily Medicine Physician
OS014601PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 19, 2018 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Jul 27, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Family Care Centers Inc. Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 19, 2018 Accepting new patients
Spirit Physician Services Inc. Past Accepting new patients

Locations

141 E Emaus Ave
Allentown, PA 18103
Phone (610) 365-3266

1648 S 4th St
Allentown, PA 18103
Phone (610) 674-4550

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

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

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

292 Frantz Rd
Stroudsburg, PA 18360
Phone (570) 424-7390

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1548405913",
    "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": "484-884-4500",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035824",
            "telephone_number": "610-791-5930",
            "fax_number": "610-791-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 US Highway 130",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086912101",
            "country_code": "US",
            "telephone_number": "609-568-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEVENIN",
        "first_name": "KARINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014601",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MR1155400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "641 US Highway 130",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086912101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.