Active NPI
Lehigh Valley Physician Group
- Internal Medicine Physician
- Allentown, PA
National Provider Identifier
1609010297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351 - Phone
- (610) 973-1410
- Fax
- (610) 973-1449
- NPI assigned
- Apr 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Callahan
- Title
- Associate Executive Director of Fin
- Phone
- (610) 798-4500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Mailing address
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410
Other names 1
- LVPG MATLV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Catasauqua, PA
- NPI 1295386175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1609010297",
"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": "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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR OF FIN",
"authorized_official_telephone_number": "610-798-4500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LVPG MATLV",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.