NPIMap

Organization Active NPI

Seasons of Life Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1902192917
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS012199 Issued in PA
Legal business name
SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC
Practice address
1611 Pond Rd
Suite 102
Allentown, PA 18104-2258
Phone
(610) 366-7000
Fax
(610) 366-0255
NPI assigned
Jun 28, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Mary Pearl Greiss-Coult, D.O.NPI 1811006646
Title
President/ Owner
Phone
(484) 553-6276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS012199 PA Primary

Addresses

Primary practice location

1611 Pond Rd
Suite 102
Allentown, PA 18104-2258

Mailing address

6553 Hoffman LN
Coopersburg, PA 18036-3030
Phone (484) 553-6276

Other identifiers 5

IdentifierTypeStateIssuer
2634499OtherPAHIGHMARK BLUE SHIELD
3840818000OtherPAINDEPENDENCE BLUE CROSS
26895627OtherPAUNITED HEALTHCARE
4152777OtherPACIGNA
50101952OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1902192917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 HOFFMAN LN",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180363030",
            "telephone_number": "484-553-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POND RD",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-366-7000",
            "fax_number": "610-366-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "GREISS-COULT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "484-553-6276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2634499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3840818000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "26895627",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4152777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50101952",
            "state": "PA"
        }
    ],
    "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 Aug 29, 2011; 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.