ST LUKE'S PHYSICIAN GROUP INC (NPI# 1093321622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093321622 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S PHYSICIAN GROUP INC |
| Practice Address |
514 Delaware Ave Fountain Hill PA 18015-1104 |
| Practice Telephone | 6108656545 |
| Practice Fax Number | 6107589595 |
| Mailing Telephone | 6108656545 |
| Mailing Fax Number | 6107589595 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | DEAN EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845265731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Childrens' Choice Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1548821374 | St Luke's Physician Group Inc | Psychiatry & Neurology | 451 Chew St, Allentown, PA 18102-3472 | 2019-06-24 |
| 1376003541 | St Luke's Physician Group Inc | Podiatrist | 303 W Broad St, Bethlehem, PA 18018-5526 | 2019-03-22 |
| 1679039556 | St Luke's Physician Group Inc | Obstetrics & Gynecology | 1251 Turnstone Drive, Suite 230, Fogelsville, PA 18051 | 2019-02-15 |
| 1992294045 | St Luke's Physician Group Inc | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-05-04 |
| 1750891958 | St Luke's Physician Group Inc | Pediatrics | 1700 St Lukes Blvd Ste 403, Easton, PA 18045-5670 | 2017-10-03 |
| 1699297572 | St Luke's Physician Group Inc | Registered Nurse | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2017-07-12 |
| 1417478413 | St Luke's Physician Group Inc | Pediatrics | 501 Cetronia Rd Ste 115, Allentown, PA 18104-9569 | 2017-06-29 |
| 1134487119 | St Luke's Physician Group Inc | Family Medicine | 530 Centre St, Ashland, PA 17921-1330 | 2012-04-27 |
| 1528132107 | St Luke's Physician Group Inc | Anesthesiology | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-11-17 |
| Street Address |
514 DELAWARE AVE |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1104 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1649836057 | St. Luke's Physician Group, Inc. | Pediatrics | 237 N West End Blvd, Quakertown, PA 18951-2315 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
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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.