Active NPI
Cheryl Lee Kienzle, M.D.
- Pediatrics Physician
- Bethlehem, PA
National Provider Identifier
1639130784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD037152E
- Practice address
- 3445 High Point Blvd
Suite 204
Bethlehem, PA 18017-7809 - Phone
- (610) 866-8566
- Fax
- (610) 866-8503
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD037152E | PA | Primary |
Addresses
Primary practice location
3445 High Point Blvd
Suite 204
Bethlehem, PA 18017-7809
Mailing address
3445 High Point Blvd
Suite 204
Bethlehem, PA 18017-7809
Phone (610) 866-8566
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Pediatrics | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Neighborhood Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
2100 Mack Blvd
#2
Allentown, PA 18103
Phone (484) 884-0632
Organizations & group practices 5
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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Family Medicine Physician
- Pottsville, PA
- NPI 1871355263
-
- Pediatrics Physician
- Bethlehem, PA
- NPI 1801857990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1639130784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 HIGH POINT BLVD",
"address_2": "SUITE 204",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177809",
"telephone_number": "610-866-8566",
"fax_number": "610-866-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 HIGH POINT BLVD",
"address_2": "SUITE 204",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177809",
"telephone_number": "610-866-8566",
"fax_number": "610-866-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIENZLE",
"first_name": "CHERYL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD037152E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.