NPIMap

Organization Active NPI

Pediatric Educational & Diagnostic Services, LTD

Doing business as PEDS, ltd

  • Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1740247923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD023578E Issued in PA
Legal business name
PEDIATRIC EDUCATIONAL & DIAGNOSTIC SERVICES, LTD
Doing business as
PEDS, ltd
Practice address
2200 W Hamilton St
Suite 214
Allentown, PA 18104-6337
Phone
(610) 770-9111
Fax
(610) 770-9507
NPI assigned
Apr 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William J Phelan III, M.D.NPI 1104942416
Title
Pediatrician/President
Phone
(610) 770-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD023578E PA Primary

Addresses

Primary practice location

2200 W Hamilton St
Suite 214
Allentown, PA 18104-6337

Mailing address

2200 W Hamilton St
Suite 214
Allentown, PA 18104-6337
Phone (610) 770-9111

Other names 1

  • PEDS, ltd Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740247923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W HAMILTON ST",
            "address_2": "SUITE 214",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046337",
            "telephone_number": "610-770-9111",
            "fax_number": "610-770-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W HAMILTON ST",
            "address_2": "SUITE 214",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046337",
            "telephone_number": "610-770-9111",
            "fax_number": "610-770-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EDUCATIONAL & DIAGNOSTIC SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PEDIATRICIAN/PRESIDENT",
        "authorized_official_telephone_number": "610-770-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD023578E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDS, ltd",
            "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 Aug 22, 2020; 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.