Basic Information
| Provider Information | |||||||||
| NPI: | 1275525917 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEADE | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | D. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108610854 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108610854 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2005 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | MD032181E | PA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207X00000X | MD032181E | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 448047 | 01 | PA | BLUE SHIELD | OTHER | 448047 | 01 | PA | KEYSTONE CENTRAL | OTHER | 01213301 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 200009506 | 01 | PA | RAILROAD MEDICARE | OTHER | 0011696590002 | 05 | PA | MEDICAID | 0136854000 | 01 | PA | KEYSTONE EAST | OTHER | 12526 | 01 | PA | GEISINGER | OTHER | 821048 | 01 | PA | FIRST PRIORITY HEALTH | OTHER | 4416065 | 01 | PA | AETNA | OTHER | P1058143 | 01 | PA | OXFORD | OTHER | 1232413001 | 01 | PA | CIGNA | OTHER |