Organization
GOOD SHEPHERD REHABILITATION HOSPITAL
Active
Other names
Good Shepherd Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SPIGEL (PRESIDENT/CEO)
(610) 776-3130
Entity
Organization
Contact information
Practice address
850 S 5TH ST, ALLENTOWN, PA 18103-3295
(610) 776-3278
(610) 776-3326
Mailing address
850 S 5TH ST, 5TH FLOOR BILLING, ALLENTOWN, PA 18103-3295
(610) 778-9297
(610) 778-9270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001067
PA
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
PA
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
PA
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
PA
2083X0100X
Occupational Medicine Physician
—
PA
2084N0400X
Neurology Physician
—
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02344000
CAPTIAL BLUE CROSS
PA
05
—
100760823
—
PA
01
—
1365410
HIGHMARK
PA
01
—
1522925
GATEWAY
PA
01
—
20010003
AMERI-HEALTH MERCY
PA
Enumeration date
12/23/2005
Last updated
07/21/2022
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