Provider Demographics
NPI:1003878802
Name:LEHIGH VALLEY WOMEN'S MEDICAL SPECIALTIES PC
Entity Type:Organization
Organization Name:LEHIGH VALLEY WOMEN'S MEDICAL SPECIALTIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTENHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-437-7000
Mailing Address - Street 1:440 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4618
Mailing Address - Country:US
Mailing Address - Phone:610-437-7000
Mailing Address - Fax:610-437-6381
Practice Address - Street 1:440 S 15TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4618
Practice Address - Country:US
Practice Address - Phone:610-437-7000
Practice Address - Fax:610-437-6381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA124389OtherPA BLUESHIELD
PA0268906000OtherKEYSTONE HEALTH PLAN EAST
PAGATEWAYOther1511442
PA0993220OtherKHP
PA02294500OtherCAP BLUECROSS
PA1511442OtherGATEWAY
PA500134OtherAETNA
PA1511442OtherGATEWAY