Active NPI
Judith A McDonald, MD
- Internal Medicine Physician
- Allentown, PA
National Provider Identifier
1558313403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD017916E
- Practice address
- 798 Hausman Rd
Suite 220
Allentown, PA 18104-9108 - Phone
- (610) 530-2290
- Fax
- (484) 403-4007
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD017916E | PA | Primary |
Addresses
Primary practice location
798 Hausman Rd
Suite 220
Allentown, PA 18104-9108
Mailing address
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093856 | Other | PA | HIGHMARK PA BLUE SHIELD |
| 01054402 | Other | PA | CAPITAL BLUE CROSS |
| 110118115 | Other | PA | PALMETTO RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017916E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1558313403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD",
"address_2": "SUITE 110B",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042351",
"telephone_number": "610-973-1410",
"fax_number": "610-973-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 HAUSMAN RD",
"address_2": "SUITE 220",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049108",
"telephone_number": "610-530-2290",
"fax_number": "484-403-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JUDITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD017916E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "093856",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01054402",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR",
"identifier": "110118115",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.