EASTERN PA NEPHROLOGY ASSOC PC – NPI #1174847545
Clinic/Center

EASTERN PA NEPHROLOGY ASSOC PC is an AHC clinic located in BETHLEHEM, PA. NPPES has assigned the NPI number 1174847545 to EASTERN PA NEPHROLOGY ASSOC PC on March 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on May 12, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN PA NEPHROLOGY ASSOC PC below.

NPI Profile for
EASTERN PA NEPHROLOGY ASSOC PC

NPI Number
1174847545
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN PA NEPHROLOGY ASSOC PC
Primary location
2014 CITY LINE RD
SUITE 101
BETHLEHEM, PA 18017-2159
Phone: (610) 264-5199 Fax: (610) 264-5198
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS JOHNSON
OWNER
Phone: (610) 432-4529
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 PA 22191501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.