Provider Demographics
NPI:1003803933
Name:BINDER, GREGORY J (CRNA)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:J
Last Name:BINDER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:17TH & CHEW STREET
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN240181L163W00000X
PA041298367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11716896OtherCAQH
1581438OtherGATEWAY
PA2035838000OtherINDEP. BLUE CROSS
PA03221301OtherCAPITAL ADVANTAGE
PA9796477OtherAETNA
PA1027799310001Medicaid
PA1343169OtherHIGHMARK
PA1343169OtherFIRST PRIORITY
PA82833OtherGEISINGER
PA1343169OtherKHP CENTRAL
PAS48550Medicare UPIN
PA82833OtherGEISINGER
PA1343169OtherKHP CENTRAL