NPIMap

Organization Active NPI

Sacred Heart Healthcare System

Doing business as Sacred Heart Medical Associates - Neurology

  • Neurology Physician
  • Allentown, PA
National Provider Identifier
1689636094
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SACRED HEART HEALTHCARE SYSTEM
Doing business as
Sacred Heart Medical Associates - Neurology
Practice address
450 W Chew St
Sigal Center Suite 204 Shma Neurology
Allentown, PA 18102-3434
Phone
(610) 776-5491
Fax
(610) 606-4432
NPI assigned
Apr 3, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Mr. Stephen A Lanshe
Title
VP Legal Affairs
Phone
(610) 776-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

450 W Chew St
Sigal Center Suite 204 Shma Neurology
Allentown, PA 18102-3434

Mailing address

421 W Chew St
Physician Accounts
Allentown, PA 18102-3406
Phone (610) 776-5100

Other identifiers 7

IdentifierTypeStateIssuer
0459718OtherAETNA HMO
1531299OtherGATEWAY HEALTH PLAN
0679828000OtherIBC
50047325OtherPACBC GROUP NUMBER
1948543OtherHIGHMARK BLUE SHIELD
20021227OtherAMERIHEALTH MERCY HEALTH
5212022OtherAETNA PPO

Other names 1

  • Sacred Heart Medical Associates - Neurology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1689636094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "address_2": "PHYSICIAN ACCOUNTS",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CHEW ST",
            "address_2": "SIGAL CENTER SUITE 204 SHMA NEUROLOGY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023434",
            "telephone_number": "610-776-5491",
            "fax_number": "610-606-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LANSHE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "610-776-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0459718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1531299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0679828000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC GROUP NUMBER",
            "identifier": "50047325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1948543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH",
            "identifier": "20021227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5212022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Medical Associates - Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2009; 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.