Individual provider Active NPI

Demetrice Louise Ward, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
National Provider Identifier
1629234612
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD441275 Issued in PA
Practice address
850 S 5TH Street
Allentown, PA 18103-3295
Phone
(610) 776-3278
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD441275 PA Primary

Addresses

Primary practice location

850 S 5TH Street
Allentown, PA 18103-3295

Mailing address

850 S 5TH Street
Allentown, PA 18103-3295
Phone (610) 776-3278

Other names 1

  • Mrs. Demetrice Louise Ward-Purvis Other name

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
I20110201000315 PA Practitioner - Physical Medicine and Rehabilitation 4486833845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 421-4000

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-5000

3200 Ctr Valley Pkwy
Center Valley, PA 18034-9519
Phone (610) 776-3100

510 Brookmont Dr
Effort, PA 18330-9534
Phone (610) 681-4070

850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as individual
Quality
47.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital CurrentSince Dec 1, 2010 Accepting new patients
Good Shepherd Rehabilitation Hospital Physical Medicine & Rehabilitation CurrentSince Dec 1, 2010 Accepting new patients

Locations

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

850 S 5th St
Ste 5
Allentown, PA 18103

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

Interoperability endpoints

  • Direct secure messaging: demetrice.ward.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1629234612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-776-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH STREET",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033295",
            "telephone_number": "610-776-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DEMETRICE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD441275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRICE",
            "last_name": "WARD-PURVIS",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.