Active NPI
Progressive Physician Assoc Inc
- Diagnostic Radiology Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PROGRESSIVE PHYSICIAN ASSOC INC
- Practice address
- 95 Highland Ave
Suite 130
Bethlehem, PA 18017-9424 - Phone
- (610) 868-1100
- Fax
- (610) 868-1111
- NPI assigned
- May 17, 2006
- Last updated
- Dec 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susanne Deangelo
- Title
- Administrative Credentialing Coordi
- Phone
- (610) 868-1100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | PA | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | PA | ||
| Vascular Surgery Physician | 2086S0129X | PA |
Addresses
Primary practice location
95 Highland Ave
Suite 130
Bethlehem, PA 18017-9424
Mailing address
95 Highland Ave
Suite 130
Bethlehem, PA 18017-9424
Phone (610) 868-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303700 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, NY, MA, GA, FL, NC, TX, MI, RI, DC, CT, OH, MS, IL, NM, CA, CO, DE, PR, SC, VT, VA, AZ, WA
Enrollment records 25
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000977 | PA | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 147 practitioners 2 other NPIs on this enrollment Practice locations: Haverford, PA; Kennett Square, PA; Lehighton, PA; New Hope, PA; North Wales, PA; Orwigsburg, PA; Palmerton, PA; Perkiomenville, PA… |
| O20140312000133 | NJ | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 134 practitioners 1 other NPI on this enrollment Practice locations: Watchung, NJ; Basking Ridge, NJ; Warren, NJ; Ventnor City, NJ; Princeton, NJ; Phillipsburg, NJ; Moorestown, NJ; Livingston, NJ… |
| O20160204000224 | NY | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 7 practitioners Practice locations: Old Westbury, NY; New York, NY; Brooklyn, NY; Albertson, NY; Dix Hills, NY |
| O20171011000786 | MA | Part B Supplier - Clinic/Group Practice | 1355243809 | Practice locations: Provincetown, MA; Roxbury, MA |
| O20171027001315 | GA | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 6 practitioners Practice locations: Atlanta, GA; Decatur, GA; Johns Creek, GA; Norcross, GA; St Simons Island, GA |
| O20220103000945 | FL | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 6 practitioners Practice locations: Wilton Manors, FL; Tampa, FL; Plantation, FL; Delray Beach, FL; Marco Island, FL; Brandon, FL |
| O20220318000662 | NC | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 5 practitioners Practice locations: Cary, NC; Chapel Hill, NC; Charlotte, NC; Durham, NC |
| O20220321002298 | TX | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 7 practitioners Practice locations: Dallas, TX; Austin, TX; Sugar Land, TX; San Antonio, TX; Houston, TX |
| O20230222000305 | MI | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Bloomfield Hills, MI; Southfield, MI |
| O20230419002826 | RI | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: South Kingstown, RI |
| O20231101001742 | DC | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Chevy Chase, MD; MC Lean, VA |
| O20231121000511 | CT | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Riverside, CT |
| O20231201002794 | OH | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Cleveland, OH |
| O20240108003894 | MS | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, MS; Ocean Springs, MS |
| O20240112000127 | IL | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 3 practitioners Practice locations: Highland Park, IL; Western Springs, IL; Winnetka, IL |
| O20240514000515 | NM | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Santa Fe, NM |
| O20240520001549 | CA | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Vacaville, CA; La Jolla, CA |
| O20240626002899 | CO | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Aurora, CO |
| O20250214002607 | DE | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Middletown, DE |
| O20250321003383 | PR | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Dorado, PR; San Juan, PR |
| O20250514001844 | SC | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 2 practitioners Practice locations: Daniel Island, SC; Mt Pleasant, SC |
| O20250708000822 | VT | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Jericho, VT |
| O20251119004082 | VA | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Keswick, VA |
| O20251215003080 | AZ | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
| O20260429002390 | WA | Part B Supplier - Clinic/Group Practice | 1355243809 |
Receives reassigned benefits from 1 practitioner Practice locations: Seattle, WA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Quakertown, PA
- NPI 1134395965
O20040123000977
-
- Diagnostic Radiology Physician
- Bethlehem, PA
- NPI 1285928218
O20040123000977, O20140312000133
National Provider Directory
National Provider DirectoryLocations
1837 W Linden St
Ste 1
Allentown, PA 18104
Phone (610) 366-7000
100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000
Practitioners & affiliated clinicians
Practitioners 231
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.
-
- Diagnostic Radiology Physician
- Abington, PA
- NPI 1871642017
-
- Vascular & Interventional Radiology Physician
- Sellersville, PA
- NPI 1023018066
NJ
-
- Cardiovascular Disease Physician
- Bethlehem, PA
- NPI 1568557965
-
- Vascular & Interventional Radiology Physician
- Bethlehem, PA
- NPI 1417223975
Diagnostic Radiology, NJ
-
- Diagnostic Radiology Physician
- Langhorne, PA
- NPI 1831330778
-
- Diagnostic Neuroimaging (Radiology) Physician
- Philadelphia, PA
- NPI 1013112499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1881646859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 HIGHLAND AVE",
"address_2": "SUITE 130",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179424",
"telephone_number": "610-868-1100",
"fax_number": "610-868-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 HIGHLAND AVE",
"address_2": "SUITE 130",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179424",
"telephone_number": "610-868-1100",
"fax_number": "610-868-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE PHYSICIAN ASSOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "DEANGELO",
"authorized_official_first_name": "SUSANNE",
"authorized_official_title_or_position": "ADMINISTRATIVE CREDENTIALING COORDI",
"authorized_official_telephone_number": "610-868-1100"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- Alexandra Printz, M.D.
- Katie Grace Pritchard, P.T.
- Charles Nelson Proctor IV, MD
- Prodhealth (Terra Health Coaching)
- Professional Anesthesia Services of North America P.C.
- Progressive Physician Associates, Inc.
- David Pronchik, MD
- Heidi Anne Proper-Pendyke, MD
- Diane Prosper, LPC
- Antonia Proutey, MHS LBS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.