Active NPI
Tracy E Bingaman, PA-C
- Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055709
- Practice address
- 1941 Hamilton St
Suite 102
Allentown, PA 18104-6470 - Phone
- (484) 426-2900
- Fax
- (484) 426-2907
- NPI assigned
- Sep 6, 2012
- Last updated
- Nov 17, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA055709 | PA | Primary |
Addresses
Primary practice location
1941 Hamilton St
Suite 102
Allentown, PA 18104-6470
Mailing address
1941 Hamilton St
Suite 102
Allentown, PA 18104-6470
Phone (484) 426-2900
Other names 1
- Tracy E Gould
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients |
Locations
325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143
3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615
1941 Hamilton St
Ste 102
Allentown, PA 18104
Phone (484) 426-2900
701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400
211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300
Interoperability endpoints
- tbingaman@directaddress.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Vascular Surgery Physician
- Bethlehem, PA
- NPI 1346492220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1801145750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 HAMILTON ST",
"address_2": "SUITE 102",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046470",
"telephone_number": "484-426-2900",
"fax_number": "484-426-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 HAMILTON ST",
"address_2": "SUITE 102",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046470",
"telephone_number": "484-426-2900",
"fax_number": "484-426-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGAMAN",
"first_name": "TRACY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "GOULD",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allentown, PA
- Gregory J. Binder, CRNA
- Lynne Marie Binder, RPH
- Paarul Bindra, DDS
- Keisha La Toshia Bing Coggs, M.ED.
- Meghan Lynn Bingaman, PA-C
- Jonathan B Bingham, MD
- Sherene Binns
- Bio-Medical Applications of Pennsylvania Inc (Fresenius Kidney Care Lehigh Valley Home)
- Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care of South Allentown)
- Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care Fogelsville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.