Lehigh Valley Physician Group
Organization Active NPI Internal Medicine Physician · Gilbert, PA
NPI 1831810753 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1831810753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 1310 Route 209 Ste 103
Gilbert, PA 18331-7751 - Phone
- (610) 951-4500
- Fax
- (610) 951-4600
- NPI assigned
- Sep 8, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
- Name
- Michael Callahan
- Title
- Associate Executive Director of Fin
- Phone
- (610) 798-4500
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- LVPG Psychiatry
- Part of
- LVPG Psychiatry
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
1310 Route 209 Ste 103
Gilbert, PA 18331-7751
Mailing address
1605 N Cedar Crest Blvd Ste 110B
Allentown, PA 18104-2351
Phone (484) 330-1377
Other names
- West End Medical Associates
Other providers in Gilbert, PA
- Barbara A Davis
- Cherrell Gaynor
- Gilbert Podiatry Associates Inc
- Hope Counseling and Behavioral Services LLC
- Madeline Koller
- Silver Lining Limited Liability Company
- Anthony Joseph Silvetti
- Ana Mercedes Velez
All providers in Gilbert, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.