MEDICARE: EASTERN PA NEPHROLOGY ASSOC PC

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	261QA1903X	Ambulatory Surgical Clinic/Center	22191501	PA

General Provider Information

NPI Number	:	1174847545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERN PA NEPHROLOGY ASSOC PC

Provider Business Mailing Address
First Line	:	2014 CITY LINE RD
Second Line	:	SUITE 101
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-2159
Country	:	US
Telephone Number	:	610-264-5199
Fax Number	:	610-264-5198

Provider Business Practice Location Address
First Line	:	2014 CITY LINE RD
Second Line	:	SUITE 101
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-2159
Country	:	US
Telephone Number	:	610-264-5199
Fax Number	:	610-264-5198

Authorized Official
Title or Position	:	OWNER
Name	:	DOUGLAS JOHNSON
Credential	:	MD
Telephone Number	:	610-432-4529

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	05/12/2010

Similar Medicare Providers

1902129679 — NEPHROLOGY-HYPERTENSION ASSOCIATES OF LEHIGH VALLEY
Practice Location Address:

2014 CITY LINE RD , SUITE 101
BETHLEHEM, PA
18017-2159

Practice Phone: 610-264-5199
Practice Fax: 610-264-5198

1316361132 — VALLEY KIDNEY ACCESS CENTER, LLC
Practice Location Address:

2014 CITY LINE RD , SUITE 101
BETHLEHEM, PA
18017-2159

Practice Phone: 610-264-5199
Practice Fax: 610-264-5198

1144892852 — TRINITY REHAB SOMERSET PA
Practice Location Address:

1460 BETHLEHEM PIKE UNIT 2
NORTH WALES, PA
19454-2159

Practice Phone: 732-219-5700
Practice Fax: 732-334-3004

1063493344 — COLIN CHARLES BOWERS P.A.-C.
Practice Location Address:

2775 SCHOENERSVILLE RD
BETHLEHEM, PA
18017-7307

Practice Phone: 610-861-8080
Practice Fax: 610-807-0366

1609508001 — A RISE ABOVE OCCUPATIONAL THERAPY SERVICES, LLC
Practice Location Address:

2380 SCHOENERSVILLE RD STE 200
BETHLEHEM, PA
18017-3602

Practice Phone: 484-215-4690
Practice Fax: 610-419-0312

1932052388 — STACY VOGWILL LCSW
Practice Location Address:

2545 SCHOENERSVILLE RD
BETHLEHEM, PA
18017-7300

Practice Phone: 484-884-2425
Practice Fax: 484-884-2603

Directions to “EASTERN PA NEPHROLOGY ASSOC PC ” 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.