Good Shepherd Physician Group | |
850 S 5th St, Allentown, PA 18103-3295 | |
(610) 776-3278 | |
(610) 776-3326 |
Full Name | Good Shepherd Physician Group |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 850 S 5th St, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427035039 | NPI | - | NPPES |
1522925 | Other | PA | GATEWAY |
20010003 | Other | PA | AMERI-HEALTH MERCY |
100760823 | Medicaid | PA | |
1365410 | Other | PA | HIGHMARK |
02344000 | Other | PA | CAPTIAL BLUE CROSS |
Provider Name | James B Kim |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1952400475 PECOS PAC ID: 0547233561 Enrollment ID: I20040818000402 |
Provider Name | Christopher Raab |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790877520 PECOS PAC ID: 9739136078 Enrollment ID: I20050511000459 |
Provider Name | Timothy E Steckel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093767949 PECOS PAC ID: 5597771519 Enrollment ID: I20060301000129 |
Provider Name | Luke J Ciaccio |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336282524 PECOS PAC ID: 5193735595 Enrollment ID: I20060501000132 |
Provider Name | James J Daley |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1245217405 PECOS PAC ID: 3577699586 Enrollment ID: I20100330000116 |
Provider Name | Deborah N Kimmel |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1093790198 PECOS PAC ID: 8123156981 Enrollment ID: I20100514000614 |
Provider Name | Terry Heiman-patterson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1437100559 PECOS PAC ID: 3577687631 Enrollment ID: I20100826000959 |
Provider Name | Demetrice L Ward |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629234612 PECOS PAC ID: 4486833845 Enrollment ID: I20110201000315 |
Provider Name | Jeffery W Williams |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1316018245 PECOS PAC ID: 8325060197 Enrollment ID: I20110502000375 |
Provider Name | Sanjeev Vasishtha |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881684975 PECOS PAC ID: 2264577337 Enrollment ID: I20110601000395 |
Provider Name | Tracy E Ransom |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760704241 PECOS PAC ID: 3971771395 Enrollment ID: I20110729000115 |
Provider Name | Kyle Klitsch |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1619108412 PECOS PAC ID: 9931341682 Enrollment ID: I20130809000317 |
Provider Name | Sandeep Singh |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033132675 PECOS PAC ID: 6800893504 Enrollment ID: I20140407000170 |
Provider Name | Andrew G Reish |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1841426483 PECOS PAC ID: 9739323148 Enrollment ID: I20141205000738 |
Provider Name | Ayanna S Kersey-mcmullen |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1114214921 PECOS PAC ID: 8426208588 Enrollment ID: I20151006003187 |
Provider Name | Leigh Kressler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508262486 PECOS PAC ID: 6002125317 Enrollment ID: I20151027001062 |
Provider Name | Kaitlin Phelps Fiedler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699921924 PECOS PAC ID: 6507088275 Enrollment ID: I20180807000996 |
Provider Name | Federica Maranzana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174161202 PECOS PAC ID: 5496185712 Enrollment ID: I20200428000932 |
Provider Name | Jacqueline R Adamshick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922507243 PECOS PAC ID: 7214358225 Enrollment ID: I20200618000828 |
Provider Name | Samantha K Summers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891467296 PECOS PAC ID: 1254722853 Enrollment ID: I20211215000585 |
Provider Name | Michael J Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437744976 PECOS PAC ID: 4981083680 Enrollment ID: I20220627003215 |
Provider Name | Christine M Abraham |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861116436 PECOS PAC ID: 0648649061 Enrollment ID: I20221207000881 |
Provider Name | Natalia Tikhonova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235872128 PECOS PAC ID: 7618346651 Enrollment ID: I20221213002413 |
Provider Name | Amy J Amarello |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164551537 PECOS PAC ID: 8921145582 Enrollment ID: I20230118003124 |
Provider Name | Benjamin R Scoblionko |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1114417367 PECOS PAC ID: 8224376066 Enrollment ID: I20230802000175 |
Provider Name | Anita Desai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700299062 PECOS PAC ID: 3779927454 Enrollment ID: I20240221002164 |
Provider Name | Vivan Shah |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1922592880 PECOS PAC ID: 4688055478 Enrollment ID: I20240221002486 |
Mailing Address | Practice Location Address |
---|---|
Good Shepherd Physician Group 850 S 5th St, 5th Floor Billing, Allentown, PA 18103-3295 Ph: (610) 778-9297 | Good Shepherd Physician Group 850 S 5th St, Allentown, PA 18103-3295 Ph: (610) 776-3278 |