MEDICARE: DR. ERIC MICHAEL PRIDGEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD481958	PA
2	207X00000X	Orthopaedic Surgery Physician	MD481958	PA

General Provider Information

NPI Number	:	1174051254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC MICHAEL PRIDGEN MD

Provider Business Mailing Address
First Line	:	575 S 9TH ST STE 5
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-2517
Country	:	US
Telephone Number	:	484-526-1735
Fax Number	:	833-550-9700

Provider Business Practice Location Address
First Line	:	575 S 9TH ST STE 5
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-2517
Country	:	US
Telephone Number	:	484-526-1735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	08/11/2023

Similar Medicare Providers

1376374058 — QUEENA LIN
Practice Location Address:

575 S 9TH ST
LEHIGHTON, PA
18235-2517

Practice Phone: 484-503-4673
Practice Fax:

1326034091 — MRS. BARBARA E KOCHER C.R.N.P
Practice Location Address:

575 S 9TH ST STE 7
LEHIGHTON, PA
18235-2517

Practice Phone: 570-645-1000
Practice Fax: 570-645-1001

1376640805 — ST. LUKE'S PHYSICIAN GROUP, INC.
Practice Location Address:

575 S 9TH ST STE 1
LEHIGHTON, PA
18235-2517

Practice Phone: 570-645-1990
Practice Fax: 570-645-1995

1528497971 — KELSIE PANE PA-C
Practice Location Address:

575 S 9TH ST
LEHIGHTON, PA
18235-2517

Practice Phone: 844-822-5320
Practice Fax:

1508256488 — KRISTIN MECKES CRNP
Practice Location Address:

575 S 9TH ST STE 1
LEHIGHTON, PA
18235-2517

Practice Phone: 570-645-1990
Practice Fax: 570-645-1995

1386185452 — THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC.
Practice Location Address:

575 S 9TH ST STE 7
LEHIGHTON, PA
18235-2517

Practice Phone: 570-645-1000
Practice Fax: 570-645-1001

Directions to “ DR. ERIC MICHAEL PRIDGEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.