Active NPI
Pain Specialists of Greater Lehigh Valley, P.C.
- Pain Medicine Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PAIN SPECIALISTS OF GREATER LEHIGH VALLEY, P.C.
- Practice address
- 1240 S Cedar Crest Blvd
Suite #307
Allentown, PA 18103-6369 - Phone
- (610) 402-1757
- Fax
- (610) 402-9089
- NPI assigned
- Oct 6, 2005
- 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
- Loretta Kowalick
- Title
- Practice Administrator
- Phone
- (610) 402-1757
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | PA | Primary | |
| Pain Clinic/Center | 261QP3300X | PA | ||
| Nurse Practitioner | 363L00000X | PA |
Addresses
Primary practice location
1240 S Cedar Crest Blvd
Suite #307
Allentown, PA 18103-6369
Mailing address
1245 S Cedar Crest Blvd
Suite #301
Allentown, PA 18103-6258
Phone (610) 402-1757
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316068 | Other | PA | HIGHMARK |
| 0018828370001 | Medicaid | PA | |
| 30000050 | Other | PA | KEYSTONE MERCY |
| 02009185000 | Other | PA | IBC |
| 03158300 | Other | PA | CAPITAL BLUE CROSS |
| 1316068 | Other | PA | KHP CENTRAL |
| 1522741 | Other | PA | GATEWAY |
| 20012177 | Other | PW | AMERIHEALTH MERCY |
| 2608852 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
1240 S Cedar Crest Blvd
Ste 307
Allentown, PA 18103
Phone (610) 402-1757
501 Saint John St
Allentown, PA 18103
Phone (610) 776-3262
1245 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103
1150 Glenlivet Dr
Ste C36
Allentown, PA 18106
2855 Schoenersville Rd
Fl 1
Bethlehem, PA 18017
2545 Schoenersville Rd
#3
Bethlehem, PA 18017
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Allentown, PA
- NPI 1790054435
-
- Pain Medicine (Anesthesiology) Physician
- Allentown, PA
- NPI 1124016845
-
- Nurse Practitioner
- Allentown, PA
- NPI 1871549162
-
- Registered Nurse
- Barto, PA
- NPI 1083894380
-
- Obstetrics & Gynecology Nurse Practitioner
- Allentown, PA
- NPI 1710975552
Family
-
- Pain Medicine (Anesthesiology) Physician
- Allentown, PA
- NPI 1750379426
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1043262264
-
- Pain Medicine (Anesthesiology) Physician
- Metuchen, NJ
- NPI 1821102054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1679560403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S CEDAR CREST BLVD",
"address_2": "SUITE #301",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036258",
"telephone_number": "610-402-1757",
"fax_number": "610-402-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 S CEDAR CREST BLVD",
"address_2": "SUITE #307",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036369",
"telephone_number": "610-402-1757",
"fax_number": "610-402-9089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SPECIALISTS OF GREATER LEHIGH VALLEY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KOWALICK",
"authorized_official_first_name": "LORETTA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "610-402-1757"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1316068",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018828370001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30000050",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "02009185000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03158300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHP CENTRAL",
"identifier": "1316068",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1522741",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20012177",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2608852",
"state": "PA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.