ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1013495332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013495332 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Other Organization Name | ST. LUKE'S PEDIATRIC NEUROLOGY |
| Practice Address |
306 S New St Ste 303 Bethlehem PA 18015-1652 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845265580 |
| Practice Fax Number | 8332147525 |
| Mailing Telephone | 4845264999 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | JOSEPH MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845266162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Pediatric Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1144834649 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 257 Brodhead Rd, Bethlehem, PA 18017-8938 | 2020-09-02 |
| 1689288110 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1021 Calypso Ave, Bethlehem, PA 18018-5005 | 2020-09-02 |
| 1962016477 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1621 Catasauqua Rd, Bethlehem, PA 18017-7407 | 2020-09-02 |
| Street Address |
306 S NEW ST STE 303 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730349200 | Elizabeth Teresa Corbo | Psychiatry & Neurology | 2545 Schoenersville Rd, 3rd Floor, Bethlehem, PA 18017-7300 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1275875940 | Gerald F. Tremblay | Psychiatry & Neurology | 2242 Berks Rd, Lansdale, PA 19446-6026 | 2013-03-20 |
| 1548554082 | Sonika Agarwal | Psychiatry & Neurology | Buerger Center, 3500 Civic Center Blvd., Philadelphia, PA 19104 | 2011-06-01 |
| 1326369851 | Ilya Khaytin | Psychiatry & Neurology | 34st and Civic Center, Chop, Philadelphia, PA 19104 | 2010-06-18 |
| 1689869372 | Abington Pediatric Neurology Consultants,pc | Psychiatry & Neurology | 1917 Guernsey Ave, Abington, PA 19001-3701 | 2007-09-06 |
| 1508064445 | Sheila Joyce Asghar | Psychiatry & Neurology | 1010 W 8th Ave Fl 1, King of Prussia, PA 19406-1349 | 2007-07-03 |
| 1700949286 | Boosara Ratanawongsa | Psychiatry & Neurology | 961 Marcon Blvd Ste 452, Allentown, PA 18109-9366 | 2006-12-18 |
| 1477626141 | Agustin Legido | Psychiatry & Neurology | Erie Aenue, Front Street, Philadelphia, PA 19134 | 2006-11-17 |
| 1780621466 | Harold Huntley Hardison | Psychiatry & Neurology | St. Christopher's Pediatric Neurology, 3601 A Street, Philadelphia, PA 19134-1095 | 2006-06-01 |
| 1225005408 | Linda M. Famiglio | Psychiatry & Neurology | 1101 E 3rd St, Williamsport, PA 17701 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.