SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY PC NPI 1902192917

NPI Information

NPI: 1902192917
Provider Name: SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 39D2032201

Address:
1611 POND RD
SUITE 102
ALLENTOWN, PA
ZIP 18104
Phone: (610) 366-7000
Get Directions

SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC is an obstetrics gynecology in Allentown, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC NPI is 1902192917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1611 POND RD
SUITE 102
ALLENTOWN, PA
ZIP 18104-258
Phone: (610) 366-7000
Fax: (610) 366-0255

The provider's authorized official is Mary Pearl Greiss-coult .
The authorized official title is President/ Owner and has the following contact phone number (484) 553-6276.

The CLIA number assigned to this NPI record is 39D2032201 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/28/2011 and was last updated on 8/29/2011.

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	207V00000X	Obstetrics & Gynecology		OS012199	PENNSYLVANIA	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	4152777	OTHER	PENNSYLVANIA	CIGNA
2	26895627	OTHER	PENNSYLVANIA	UNITED HEALTHCARE
3	50101952	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
4	3840818000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
5	2634499	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD

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

NPI Synchronization or Removal

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