Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELIZA MAE SKEMP DO
NPI 1114711199
Student in an Organized Health Care Education/Training Program in Allentown, PA

Active since April 07, 2025PECOS Enrolled
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(888) 402-5846 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Eliza Mae Skemp Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZA MAE SKEMP DO (NPI 1114711199) is an individual student in an organized health care education/training program in Allentown, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114711199
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZA MAE SKEMPCredential: DO
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateJuly 12, 20262 updates tracked since enumeration
NPPES CertifiedJuly 12, 2026
NPI 1114711199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 S CEDAR CREST BLVD, Allentown, PA 18103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eliza Mae Skemp Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114711199, enumerated as an "individual" on April 07, 2025.

The provider is located at 1200 S CEDAR CREST BLVD ALLENTOWN, PA 18103 and the phone number is (888) 402-5846.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.