Basic Information
| Provider Information | |||||||||
| NPI: | 1518948173 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGLETON | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 421 W CHEW ST | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107765100 | ||||||||
| FaxNumber: | 6106633113 | ||||||||
| Practice Location | |||||||||
| Address1: | 451 W CHEW ST | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023472 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107703130 | ||||||||
| FaxNumber: | 6107703452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2005 | ||||||||
| LastUpdateDate: | 12/11/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD424882 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 1542353 | 01 | GATEWAY HEALTH PLAN | OTHER | 20040973 | 01 | AMERIHEALTH MERCY | OTHER | 2323391000 | 01 | IBC | OTHER | 161096 | 01 | UNISON | OTHER | 1011717200001 | 05 | PA | MEDICAID | 1646422 | 01 | HIGHMARK BLUE SHIELD | OTHER | 50049580 | 01 | CBC | OTHER |