Provider Demographics
NPI:1316027550
Name:OREHEK, ALLEN J (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:J
Last Name:OREHEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 BELMONT TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYMART
Mailing Address - State:PA
Mailing Address - Zip Code:18472-6033
Mailing Address - Country:US
Mailing Address - Phone:570-488-7777
Mailing Address - Fax:570-488-7888
Practice Address - Street 1:231 BELMONT TPKE
Practice Address - Street 2:
Practice Address - City:WAYMART
Practice Address - State:PA
Practice Address - Zip Code:18472-6033
Practice Address - Country:US
Practice Address - Phone:570-488-7777
Practice Address - Fax:570-488-7888
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063049L207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001607297Medicaid
PA0016072970003Medicaid
PA000000222098OtherUNISON
894299OtherBLUE SHIELD
003085OtherFIRST PRIORITY HEALTH
2052043OtherUNITED HEALTHCARE
2052043OtherUNITED HEALTHCARE
PA001607297Medicaid
PA894299S63Medicare PIN
894299Medicare ID - Type Unspecified