Archie W Hartzell, P.A.

Key facts

NPI

1902804164

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

MA003399L (PA)

Practice address

1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224

Phone

(610) 435-1003

Fax

(610) 435-3184

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• Lehigh Valley Physician Group Developmental - Behavioral Pediatrics Physician · Allentown, PA · NPI 1780155689
  Medicare reassignment Care Compare group PA
• Hazleton Professional Services Internal Medicine Physician · Hazleton, PA · NPI 1952464638
  Medicare reassignment NPD PA
• Lehigh Valley Physician Group Podiatrist · Easton, PA · NPI 1013672666
  Care Compare group
• Lehigh Valley Physician Group Diagnostic Radiology Physician · Allentown, PA · NPI 1033094289
  Care Compare group
• Lehigh Valley Physician Group Durable Medical Equipment & Medical Supplies · Dickson City, PA · NPI 1174257513
  Care Compare group
• Lehigh Valley Physician Group Family Medicine Physician · East Stroudsburg, PA · NPI 1245093368
  NPD
• Lehigh Valley Physician Group Pediatrics Physician · Allentown, PA · NPI 1982454823
  NPD
• Lehigh Valley Bone Muscle and Joint Orthopaedic Surgery Physician · Bethlehem, PA · NPI 1700837671
  NPD (past) SURGICAL
• Pulmonary Associates PC Pulmonary Disease Physician · Allentown, PA · NPI 1245209022
  NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lehigh Valley Hospital General Acute Care Hospital · Allentown, PA · NPI 1164400131
  Care Compare affiliation Hospital
• Lehigh Valley Hospital Clinic/Center · Allentown, PA · NPI 1194673467
  Care Compare affiliation Hospital
• Lehigh Valley Hospital Clinic/Center · Allentown, PA · NPI 1528627155
  Care Compare affiliation Hospital
• Lehigh Valley Hospital Psychiatric Hospital Unit · Bethlehem, PA · NPI 1609834001
  Care Compare affiliation Hospital
• Lehigh Valley Hospital Children's Hospital · Allentown, PA · NPI 1952954307
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician Group (2,512 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital Hospital · Allentown, PA · CCN 390133

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahartzell6975@direct2.lvhn.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2014.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1902804164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754"
        },
        {
            "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": "HARTZELL",
        "first_name": "ARCHIE",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003399L",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003399L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

• Christine Hartigan, PSY.D.
• Craig C Hartigan, PA
• Elizabeth Marie Hartkorn, LPC
• Dorothy Hartman, MD
• Michael T Hartman, CRNA
• George W. Hartzell Jr., M.D.
• Michele Hartzell, PA
• Harvey S Cheng MD
• Alexandria Harvey, PA-C
• Jillian Marie Harvey, OTR

All providers in Allentown, PA · Medical Physician Assistant in Pennsylvania