Active NPI
Sacred Heart Neurology
- Specialist
- Allentown, PA
National Provider Identifier
1972667756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD018030E
- Legal business name
- SACRED HEART NEUROLOGY
- Practice address
- 450 W Chew St
Suite 204
Allentown, PA 18102-3434 - Phone
- (610) 776-5491
- Fax
- (610) 606-4432
- NPI assigned
- Dec 19, 2006
- 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
- Dr. Henry Donald Wills, M.D.
- Title
- Neurologist
- Phone
- (610) 776-5491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD018030E | PA | Primary |
Addresses
Primary practice location
450 W Chew St
Suite 204
Allentown, PA 18102-3434
Mailing address
450 W Chew St
Suite 204
Allentown, PA 18102-3434
Phone (610) 776-5491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138182 | Medicaid | PA |
Other names 1
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Sacred Heart Healthcare System
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Allentown, PA
- NPI 1033170881
-
- Infectious Disease Physician
- Allentown, PA
- NPI 1578525804
-
- Pediatrics Physician
- Wescosville, PA
- NPI 1598980021
Locations
421 Chew St
Fl 3
Allentown, PA 18102
Phone (484) 602-2733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Whitehall, PA
- NPI 1386630424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972667756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W CHEW ST",
"address_2": "SUITE 204",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023434",
"telephone_number": "610-776-5491",
"fax_number": "610-606-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W CHEW ST",
"address_2": "SUITE 204",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023434",
"telephone_number": "610-776-5491",
"fax_number": "610-606-4432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEART NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "610-776-5491",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "MD018030E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138182",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sacred Heart Hospital",
"code": "5",
"type": "Other Name"
}
]
}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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.