NPIMap

Individual provider Active NPI

Annmarie McDermott, M.D.

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1821090218
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD065886L Issued in PA
Practice address
1611 Pond Rd Ste 300
Allentown, PA 18104-2258
Phone
(610) 398-7700
Fax
(610) 398-6917
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD065886L PA Primary

Addresses

Primary practice location

1611 Pond Rd Ste 300
Allentown, PA 18104-2258

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

2005 Fairview Ave
Suite B
Easton, PA 18042-3915
Phone (610) 258-3615

Other identifiers 2

IdentifierTypeStateIssuer
0017516480005MedicaidPA
684343OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000164 PA Practitioner - Obstetrics/Gynecology 0446355929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1611 Pond Rd
Suite 300
Allentown, PA 18104-2258
Phone (610) 398-9770

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD065886LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 4, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 4, 2020 Accepting new patients
Steward Medical Group Inc. CurrentSince May 1, 2017 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

700 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0770

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 104
Easton, PA 18045
Phone (610) 258-3615

1101 Northampton St
Ste 201
Easton, PA 18042
Phone (610) 559-8151

2005 Fairview Ave
Ste B
Easton, PA 18042
Phone (610) 258-3615

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

3701 Corriere Rd
Ste 22
Easton, PA 18045
Phone (484) 591-7170

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: amcdermott115625@direct2.lvhn.org

Organizations & group practices 10

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1821090218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POND RD STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-398-7700",
            "fax_number": "610-398-6917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Fairview Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423915",
            "country_code": "US",
            "telephone_number": "610-258-3615",
            "fax_number": "610-253-4496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "ANNMARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD065886L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017516480005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "684343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.