1326000514 NPI number — ROBERT H BIGGS DO; KENNETH P SKORINKO MD

Table of content: (NPI 1326000514)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326000514 NPI number — ROBERT H BIGGS DO; KENNETH P SKORINKO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT H BIGGS DO; KENNETH P SKORINKO MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LEHIGH VALLEY CARDIOLOGY ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326000514
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2649 SCHOENERSVILLE RD
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18017-7326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-866-2233
Provider Business Mailing Address Fax Number:
610-882-3474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2649 SCHOENERSVILLE RD
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-7326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-866-2233
Provider Business Practice Location Address Fax Number:
610-882-3474
Provider Enumeration Date:
04/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOEHRKOLB
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
610-882-3456

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0013053490011 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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