Active NPI
FPM Urogynecology Center, LLC
- Ambulatory Surgical Clinic/Center
- Allentown, PA
National Provider Identifier
1720315765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FPM UROGYNECOLOGY CENTER, LLC
- Practice address
- 3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628 - Phone
- (610) 435-9575
- Fax
- (610) 435-2763
- NPI assigned
- Nov 12, 2009
- 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
- Michelle Jared
- Title
- Revenue Cycle Director
- Phone
- (763) 294-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628
Mailing address
3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3628
Phone (610) 435-9575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- FPM Urogynecology Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Allentown, PA
- NPI 1669414488
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Allentown, PA
- NPI 1306374376
-
- Women's Health Nurse Practitioner
- Allentown, PA
- NPI 1700412103
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1649891128
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Allentown, PA
- NPI 1699701623
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1790177574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1720315765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 HAMILTON BLVD",
"address_2": "SUITE 200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033628",
"telephone_number": "610-435-9575",
"fax_number": "610-435-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 HAMILTON BLVD",
"address_2": "SUITE 200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033628",
"telephone_number": "610-435-9575",
"fax_number": "610-435-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FPM UROGYNECOLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-12",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "JARED",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "763-294-2012"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.