ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1093322380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322380 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Practice Address |
990 Echo Trl Easton PA 18040-1014 |
| Mailing Address |
77 S Commerce Way Bethlehem PA 18017-8891 |
| Practice Telephone | 6102502521 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | SUE CHIAVAROLI (SUPERVISOR, CVO ENROLLMENT) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Psychiatric Associates - Easton ASD Palmer Elementary | 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 |
| 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 |
| 1477167013 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 3890 Jacksonville Rd, Bethlehem, PA 18017-9305 | 2020-09-01 |
| Street Address |
990 ECHO TRL |
| City | EASTON |
| State | PA |
| Zip Code | 18040-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577683 | Ryan Toth | Pharmacist | 3825 Sullivan Trail, Easton, PA 18040 | 2018-11-24 |
| 1477033983 | St. Luke's Physician Group Inc | Family Medicine | 2003 Sullivan Trl Ste 5, Easton, PA 18040 | 2018-08-15 |
| 1689188807 | Pacifico Dental Care of Forks | Clinic/Center | 2202 Sullivan Trail, Easton, PA 18040 | 2017-11-27 |
| 1588953541 | Weis Markets Inc | Pharmacy | 3825 Sullivan Trl, Easton, PA 18040 | 2011-03-30 |
| 1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
| 1871801209 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 2222 Sullivan Trail, Easton, PA 18040 | 2010-09-20 |
| 1326206798 | Damaris Vanderhall | Social Worker | 1011 George St Apt 2k, Easton, PA 18040 | 2008-06-01 |
| 1902011844 | Frank G Greco | Pharmacist | 1955 Sullivan Trail, Easton, PA 18040 | 2007-05-14 |
| 1720199805 | Carl Joseph Milano | Oral & Maxillofacial Surgery | 1412 Sullivan Trl, Easton, PA 18040 | 2006-08-31 |
| 1679516199 | Randall A Weston | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040 | 2006-06-13 |
| Find all providers in zip 18040 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154974079 | Dr. A.g. Saba PC | Psychiatry & Neurology | 3735 Easton Nazareth Hwy Ste 201, Easton, PA 18045-8346 | 2019-07-19 |
| 1366601411 | Charles Konia | Psychiatry & Neurology | Spring Hill Farm, Easton, PA 18042 | 2008-06-04 |
| 1568669653 | James Edward Kelly | Psychiatry & Neurology | 29466-5 Pintail Drive, Easton, MD 21601 | 2007-07-02 |
| 1962612572 | Christine Marchionni | Psychiatry & Neurology | 1872 St Luke's Boulevard, Easton, PA 18045 | 2007-05-23 |
| 1801015128 | Ginny M Gerbino-rosen | Psychiatry & Neurology | 118 Sport Hill Rd, Easton, CT 06612-2247 | 2007-04-25 |
| 1659326437 | Corazon Aluquin Guerra | Psychiatry & Neurology | 2205 Lehigh St, Easton, PA 18042-3819 | 2006-05-23 |
| 1831143718 | Jacqueline S Moss | Psychiatry & Neurology | 226 Norhampton Street, Easton, PA 18042-3676 | 2006-05-22 |
| 1649239948 | George Wright Rever | Psychiatry & Neurology | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2006-03-23 |
| 1518589654 | Franzes Anne Zeta Liongson | Psychiatry & Neurology | 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-05-12 |
| 1487274148 | Jerica Gerena | Psychiatry & Neurology | 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-04-23 |
| Find all providers in EASTON | ||||
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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.