Individual provider Active NPI

Teather Lynne Royse, PA-C

  • Medical Physician Assistant
  • Wescosville, PA
National Provider Identifier
1851433908
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002715L Issued in PA
Practice address
6081 Hamilton Blvd Ste 101
Wescosville, PA 18106-9801
Phone
(610) 841-4404
Fax
(484) 403-4026
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002715L PA Primary

Addresses

Primary practice location

6081 Hamilton Blvd Ste 101
Wescosville, PA 18106-9801

Mailing address

1605 N Cedar Crest Blvd
Ste. 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mark S Springer MD PC CurrentSince Jun 1, 2007 Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

825 N Cedar Crest Blvd
#L
Allentown, PA 18104

825 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 351-3191

6083 Hamilton Blvd
Wescosville, PA 18106
Phone (610) 395-0600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1851433908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "STE. 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 HAMILTON BLVD STE 101",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069801",
            "telephone_number": "610-841-4404",
            "fax_number": "484-403-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSE",
        "first_name": "TEATHER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002715L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wescosville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.