Organization Active NPI

Green Hills Family Health Care Inc

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1629031885
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREEN HILLS FAMILY HEALTH CARE INC
Practice address
1150 Glenlivet Drive
Suite A17
Allentown, PA 18106
Phone
(610) 530-9155
Fax
(610) 530-4495
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Kimberly Legg Gorba, DO
Title
Physician President
Phone
(610) 530-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1150 Glenlivet Drive
Suite A17
Allentown, PA 18106

Mailing address

1150 Glenlivet Drive
Suite A17
Allentown, PA 18106
Phone (610) 530-9155

Other identifiers 4

IdentifierTypeStateIssuer
080195420OtherPALMETTO GBA
1464675OtherHIGHMARK BLUE SHIELD
50011842OtherPACAPITAL BLUE CROSS
F87264OtherUPIN

National Provider Directory

National Provider Directory

Locations

1150 Glenlivet Dr
Ste A17
Allentown, PA 18106
Phone (610) 530-9155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1629031885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DRIVE",
            "address_2": "SUITE A17",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-530-9155",
            "fax_number": "610-530-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DRIVE",
            "address_2": "SUITE A17",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-530-9155",
            "fax_number": "610-530-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS FAMILY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "GORBA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LEGG",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "610-530-9155",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "080195420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1464675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50011842",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F87264",
            "state": null
        }
    ],
    "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 4, 2010; 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.