NPIMap

Organization Active NPI

Lehigh Valley Health Network Family Medicine Residency

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1730592874
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT015646 Issued in PA
Legal business name
LEHIGH VALLEY HEALTH NETWORK FAMILY MEDICINE RESIDENCY
Practice address
3024 Easton Ave
Bethlehem, PA 18017-4208
Phone
(610) 694-1000
NPI assigned
Jun 6, 2014
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Crystal Walker
Title
Program Manager
Phone
(610) 969-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT015646 PA Primary

Addresses

Primary practice location

3024 Easton Ave
Bethlehem, PA 18017-4208

Mailing address

3024 Easton Ave
Bethlehem, PA 18017-4208
Phone (610) 694-1000

National Provider Directory

National Provider Directory
Tax ID family
Muhlenberg Hospital Cen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1730592874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174208",
            "telephone_number": "610-694-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174208",
            "telephone_number": "610-694-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HEALTH NETWORK FAMILY MEDICINE RESIDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "610-969-4970"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015646",
            "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 Jun 6, 2014; 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.