ST. LUKE'S PHYSICIAN GROUP INC. (NPI# 1053957688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053957688 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC. |
| Other Organization Name | ST. LUKE'S SURGICAL OPTIMIZATION CENTER |
| Practice Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845264495 |
| Practice Fax Number | 4845262419 |
| Mailing Telephone | 4845264495 |
| Mailing Fax Number | 4845262419 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | DEAN EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845263383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Surgical Optimization | Doing Business As Name - Organization |
| St. Luke's Surgical Optimization Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| 1093270019 | St. Luke's Physician Group Inc. | Pediatrics | 7001 N Route 309, Coopersburg, PA 18036-1109 | 2019-02-04 |
| 1235602459 | St. Luke's Physician Group Inc. | Internal Medicine | 1107 Bethlehem Pike, Sellersville, PA 18960-1454 | 2019-01-10 |
| 1265905483 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 207 N Main St, Nazareth, PA 18064-1444 | 2019-01-10 |
| 1174013395 | St. Luke's Physician Group Inc. | Pediatrics | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-14 |
| 1225528730 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 3420 Walbert Avenue, Suite 100, Allentown, PA 18104-1700 | 2018-05-10 |
| 1437695095 | St. Luke's Physician Group Inc. | Internal Medicine | 701 Ostrum St Ste 103, Fountain Hill, PA 18015-1152 | 2017-01-06 |
| 1770028136 | St. Luke's Physician Group Inc. | Otolaryngology | 120 Pine St, Suite B, Tamaqua, PA 18252 | 2016-12-21 |
| Street Address |
801 OSTRUM ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
| 1356942635 | Christopher Vila | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-11-04 |
| 1114527801 | Alexandria Lynn Strouse | Registered Nurse | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-30 |
| 1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1750989745 | Amber Nicole Saylor | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-13 |
| 1427656586 | Sarah Anne Blum | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1972101061 | Stephen Druckenmiller | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1780281014 | Ryan Anthony Mathiesen | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-09 |
| 1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790862977 | Robert Leo Wellner | Anesthesiology | 1461 Colesville Rd, Bethlehem, PA 18015-5221 | 2006-11-01 |
| 1902805252 | Steven Allie Mortazavi | Anesthesiology | 4250 Fritch Dr, Bethlehem, PA 18020-9412 | 2005-07-19 |
| 1992294045 | St Luke's Physician Group Inc | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. LUKE'S PHYSICIAN GROUP INC..
| 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.