Provider Demographics
NPI:1285012740
Name:HAMILTON SURGICAL INSTITUTE, INC.
Entity Type:Organization
Organization Name:HAMILTON SURGICAL INSTITUTE, INC.
Other - Org Name:PROGRESSIVE SURGICAL INSTITUTE ABE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINSILBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-530-4444
Mailing Address - Street 1:5201 HAMILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9113
Mailing Address - Country:US
Mailing Address - Phone:610-530-4444
Mailing Address - Fax:610-395-3218
Practice Address - Street 1:5201 HAMILTON BLVD.
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106
Practice Address - Country:US
Practice Address - Phone:610-395-3659
Practice Address - Fax:610-395-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030939820001Medicaid