Active NPI
Melanie A Koehler, MD
- Pediatrics Physician
- Tamaqua, PA
National Provider Identifier
1740244755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD057285L
- Practice address
- 143 N Railroad St
Tamaqua, PA 18252-1330 - Phone
- (570) 645-1930
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD057285L | PA | Primary |
Addresses
Primary practice location
143 N Railroad St
Tamaqua, PA 18252-1330
Mailing address
143 N Railroad St
Tamaqua, PA 18252-1330
Phone (706) 451-9305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007423240006 | 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 |
|---|---|---|---|
| MD057285L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Community Health, Inc | Current | Accepting new patients | |
| The Carbon Schuylkill Community Hospital, Inc. | Current | Accepting new patients | |
| Star Community Health, Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| The Carbon-Schuylkill Community Hospital, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| The Carbon-Schuylkill Community Hospital, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460
77 S Commerce Way
Bethlehem, PA 18017
Phone (484) 526-2538
4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600
143 N Railroad St
Tamaqua, PA 18252
Phone (570) 645-1540
Interoperability endpoints
- melanie.koehler@slpg.direct-sluhn.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- General Practice Physician
- Bethlehem, PA
- NPI 1033686159
-
- Emergency Medicine Physician
- Coaldale, PA
- NPI 1194891010
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Family Medicine Physician
- Allentown, PA
- NPI 1538461850
-
- Federally Qualified Health Center (FQHC)
- Bethlehem, PA
- NPI 1942832720
-
- Urgent Care Clinic/Center
- Hazle Township, PA
- NPI 1710655394
-
- Family Medicine Physician
- Ringtown, PA
- NPI 1548761935
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1447801535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1740244755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 N RAILROAD ST",
"city": "TAMAQUA",
"state": "PA",
"postal_code": "182521330",
"telephone_number": "706-451-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 N RAILROAD ST",
"city": "TAMAQUA",
"state": "PA",
"postal_code": "182521330",
"telephone_number": "570-645-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "MELANIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD057285L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007423240006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamaqua, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.