PROGRESSIVE PHYSICIAN ASSOC INC NPI 1881646859

NPI Information

  • NPI: 1881646859
  • Provider Name: PROGRESSIVE PHYSICIAN ASSOC INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 95 HIGHLAND AVE
    SUITE 130
    BETHLEHEM, PA
    ZIP 18017
  • Phone: (610) 868-1100

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NPI Details

PROGRESSIVE PHYSICIAN ASSOC INC is a diagnostic radiology radiology in Bethlehem, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROGRESSIVE PHYSICIAN ASSOC INC NPI is 1881646859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

95 HIGHLAND AVE
SUITE 130
BETHLEHEM, PA
ZIP 18017-424
Phone: (610) 868-1100
Fax: (610) 868-1111

The provider's authorized official is Susanne Deangelo .
The authorized official title is Administrative Credentialing Coordi and has the following contact phone number (610) 868-1100.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/16/2022.

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
12085R0204XRadiologyVascular & Interventional RadiologyPENNSYLVANIANo
22086S0129XSurgeryVascular SurgeryPENNSYLVANIANo
32085R0202XRadiologyDiagnostic RadiologyPENNSYLVANIAYes

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
11303700MEDICAIDPENNSYLVANIA

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: 11/21/2025

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