Active NPI
Kevin N Waninger, MD
- Hospitalist Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD042157E
- Practice address
- 2310 Highland Ave
Bethlehem, PA 18020-8920 - Phone
- (610) 691-6248
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD042157E | PA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD042157E | PA | |
| Hospitalist Physician | 208M00000X | MD042157E | PA | Primary |
Addresses
Primary practice location
2310 Highland Ave
Bethlehem, PA 18020-8920
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-1735
Other practice location 1
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-1735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011335850006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042157E | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| St. Luke'S Quakertown Hospital | Family Medicine | Past | Accepting new patients |
| Delmar Emergency Specialists PA | Past | Accepting new patients | |
| Sussex Emergency Associates LLC | Past | Accepting new patients |
Locations
1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
2775 Schoenersville Rd
Bethlehem, PA 18017
Interoperability endpoints
- kwaninger103764@direct2.lvhn.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Family Medicine
-
- Family Medicine Physician
- Hazle Township, PA
- NPI 1770347106
-
- Urgent Care Clinic/Center
- Lansdale, PA
- NPI 1326920836
Family Medicine
-
- Emergency Medicine Physician
- Elkton, MD
- NPI 1851361224
-
- Emergency Medicine Physician
- Lewes, DE
- NPI 1275512105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1740244219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "484-526-1735",
"fax_number": "484-526-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 HIGHLAND AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208920",
"telephone_number": "610-691-6248"
}
],
"practiceLocations": [
{
"address_1": "801 Ostrum St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "484-526-1735",
"fax_number": "484-526-2429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANINGER",
"first_name": "KEVIN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD042157E",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD042157E",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD042157E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011335850006",
"state": "PA"
}
],
"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 Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.