NPIMap

Individual provider Active NPI

Lauren Coll, PAC

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1639563752
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057414 Issued in PA
Practice address
95 Highland Ave
#130
Bethlehem, PA 18017-9424
Phone
(610) 868-1100
Fax
(610) 868-1111
NPI assigned
Mar 26, 2015
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057414 PA Primary

Addresses

Primary practice location

95 Highland Ave
#130
Bethlehem, PA 18017-9424

Mailing address

95 Highland Ave
#130
Bethlehem, PA 18017-9424
Phone (610) 868-1100

Other identifiers 1

IdentifierTypeStateIssuer
MA057414OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610002143 PA Practitioner - Physician Assistant 8729309190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-4000

1021 Park Ave
Quakertown, PA 18951-0130
Phone (610) 868-1100

1736 Hamilton St
Allentown, PA 18104-5656
Phone (610) 868-1100

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (610) 868-1100

210 Edgemont Ave
Ardmore, PA 19003-2705
Phone (610) 868-1100

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (610) 868-8110

360 W Riddle St
Coaldale, PA 18218-1027
Phone (610) 868-1100

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 868-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jun 15, 2015 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 15, 2015 Accepting new patients
Progressive Physician Assoc, Inc. Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: lauren.coll@slpg.direct-sluhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1639563752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE",
            "address_2": "#130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179424",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE",
            "address_2": "#130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179424",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLL",
        "first_name": "LAUREN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA057414",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.