Basic Information
| Provider Information | |||||||||
| NPI: | 1912961491 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EHRENFEUCHTER | ||||||||
| FirstName: | KURT | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2006 | ||||||||
| LastUpdateDate: | 01/07/2008 | ||||||||
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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 | OS005306L | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 0068639000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 197668 | 01 | HIGHMARK BLUE SHIELD | OTHER | 9052678 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | P3709962 | 01 | OXFORD HEALTH PLANS | OTHER | 50059466 | 01 | CAPITAL BLUE CROSS | OTHER | 0068639000 | 01 | AMERIHEALTH | OTHER | 2170589 | 01 | MAMSI | OTHER | 32226 | 01 | GEISINGER HEALTH PLAN | OTHER | 50059466 | 01 | KEYSTONE HEALTH CENTRAL | OTHER | 0068639000 | 01 | KEYSTONE HEALTH EAST | OTHER | 1555320 | 01 | UNITED HEALTHCARE | OTHER | P00333105 | 01 | MEDICARE RAILROAD | OTHER |