Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Mae Peterseim

Individual provider Family Medicine Physician · NPI 1104494590

Carolyn Mae Peterseim is a Family Practice in Allentown, Pennsylvania. Graduated from Medical University of South Carolina College of Medicine in 2021, 5 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Medical University of South Carolina College of Medicine
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3080 Hamilton Blvd Ste 250
Allentown, PA 18103-3694
Phone: (610) 437-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1648 S 4th St, Allentown, PA 18103-4922 — (610) 674-4550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD485063 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT223953 (PA)

Record details

NPI number1104494590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address707 Hamilton St Fl 8, Allentown, PA 18101-2407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Allentown