Active NPI
Anna L Micklea, PA-C
- Medical Physician Assistant
- Allentown, PA
National Provider Identifier
1902133101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054122
- Practice address
- 1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224 - Phone
- (610) 435-1003
- Fax
- (610) 435-3184
- NPI assigned
- Nov 9, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054122 | PA | Primary |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224
Mailing address
1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224
Phone (610) 435-1003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054122 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1902133101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"address_2": "SUITE 110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-435-1003",
"fax_number": "610-435-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"address_2": "SUITE 110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-435-1003",
"fax_number": "610-435-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLEA",
"first_name": "ANNA",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.