MEDICARE: JACOB HARRY PICKLE IV 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	207R00000X	Internal Medicine Physician	MD03476SE	PA
2	207RG0100X	Gastroenterology Physician	MD03476SE	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174525117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB HARRY PICKLE IV MD

Provider Business Mailing Address
First Line	:	3131 COLLEGE HEIGHTS BLVD
Second Line	:	SUITE 1200
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-4812
Country	:	US
Telephone Number	:	610-439-8551
Fax Number	:	610-439-1435

Provider Business Practice Location Address
First Line	:	3131 COLLEGE HEIGHTS BLVD
Second Line	:	SUITE 1200
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-4812
Country	:	US
Telephone Number	:	610-439-8551
Fax Number	:	610-439-1435

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/18/2015

Similar Medicare Providers

1306848411 — LAWRENCE WADI BARDAWIL MD
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD , SUITE 1200
ALLENTOWN, PA
18104-4812

Practice Phone: 610-439-8551
Practice Fax: 610-439-1435

1215939327 — SUZANNE DIXON AMANT PA- C
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD , SUITE 1200
ALLENTOWN, PA
18104-4812

Practice Phone: 610-439-8551
Practice Fax: 610-439-4021

1104828128 — ROSANNE MARIE DAY PAC
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD , SUITE 1200
ALLENTOWN, PA
18104-4812

Practice Phone: 610-439-8551
Practice Fax: 610-439-4021

1558363085 — MARK P SHAMPAIN MD
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD , STE 200
ALLENTOWN, PA
18104-4812

Practice Phone: 610-820-7611
Practice Fax: 610-820-9884

1518959360 — GASTROENTEROLOGY ASSOCIATES LTD
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD
ALLENTOWN, PA
18104-4812

Practice Phone: 610-439-8551
Practice Fax: 610-439-1435

1841282241 — SEAN ROBERT LACEY MD
Practice Location Address:

3131 COLLEGE HEIGHTS BLVD , SUITE 1200
ALLENTOWN, PA
18104-4812

Practice Phone: 610-439-8551
Practice Fax: 610-439-1435

Directions to “ JACOB HARRY PICKLE IV 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.