PETER J ISAAC DO LLC NPI 1528049830

NPI Information

NPI: 1528049830
Provider Name: PETER J ISAAC DO LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1275 S CEDAR CREST BLVD STE 2
ALLENTOWN, PA
ZIP 18103
Phone: (610) 820-5703
Get Directions

PETER J ISAAC DO LLC is a vascular surgery surgery in Allentown, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PETER J ISAAC DO LLC NPI is 1528049830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 S CEDAR CREST BLVD STE 2
ALLENTOWN, PA
ZIP 18103-207
Phone: (610) 820-5703
Fax: (610) 433-5660

The provider's authorized official is Peter J Isaac .
The authorized official title is President and has the following contact phone number (610) 820-5703.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0012579850008	MEDICAID	PENNSYLVANIA
2	50036424	OTHER		CBC
3	1615553	OTHER		HIGHMARK BLUE SHIELD
4	DB9519	OTHER		RR MEDICARE
5	20033447	OTHER		AMERIHEALTH MERCY
6	2294393000	OTHER		IBC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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