Provider Demographics
NPI:1912980939
Name:PERCH, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:PERCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1020A E BOAL AVE
Mailing Address - Street 2:
Mailing Address - City:BOALSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16827-1509
Mailing Address - Country:US
Mailing Address - Phone:814-237-8627
Mailing Address - Fax:814-238-0083
Practice Address - Street 1:1240 S CEDAR CREST BLVD STE 401
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6218
Practice Address - Country:US
Practice Address - Phone:610-402-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051483L2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0662018OtherKEYSTONE HEALTH PLAN CENT
PA1081655OtherKEYSTONE MERCY
PA1506386OtherGATEWAY HEALTH PLAN
PA131044OtherMEDPLUS/THREE RIVERS
PA01218901OtherCAPITAL BC
PA0784691000OtherKEYSTONE HEALTH PLAN EAST
PA1081655OtherAMERIHEALTH MERCY
PA920001781OtherRAILROAD MEDICARE
PA0015404100003Medicaid
PA66814OtherGEISINGER HEALTH PLAN
PA6797443003OtherCIGNA HMO
PA662018OtherBCBS PA
PA0662018OtherKEYSTONE HEALTH PLAN CENT
PA66814OtherGEISINGER HEALTH PLAN