ST. LUKE'S PHYSICIAN GROUP, INC (NPI# 1104483411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104483411 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC |
| Practice Address |
3565 Route 611 Ste 300 Bartonsville PA 18321-7800 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845262200 |
| Practice Fax Number | 4845262398 |
| Mailing Telephone | 4845263571 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | TAMI GIGLIO (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4845263571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | 034134 | 01 |
| Other Name | Type Code |
|---|---|
| St. Luke's General Surgery Monroe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1912465592 | St. Luke's Physician Group, Inc | Family Medicine | 426 W Railroad St Ste 1, Nesquehoning, PA 18240-1414 | 2019-03-04 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1639554942 | St. Luke's Physician Group, Inc | Internal Medicine | 2599 State Route 903, Albrightsville, PA 18210 | 2015-07-28 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| 1750683546 | St. Luke's Physician Group, Inc | Family Medicine | 2550 Pa Route 100, Suite 220, Macungie, PA 18062-9652 | 2010-11-30 |
| 1780293241 | St. Luke's Physician Group, Inc | Internal Medicine | 161 N Main St, Dublin, PA 18917-1302 | 2020-07-30 |
| 1447801535 | St. Luke's Physician Group, Inc | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-09-20 |
| 1639738594 | St. Luke's Physician Group, Inc | Surgery | 421 Chew St, Allentown, PA 18102-3406 | 2019-06-13 |
| Street Address |
3565 ROUTE 611 STE 300 |
| City | BARTONSVILLE |
| State | PA |
| Zip Code | 18321-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265940969 | Nicole L Koch | Nurse Practitioner | 3565 Route 611 Ste 300, Bartonsville, PA 18321-7832 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804375 | Michael Terrery Dentistry PC | Dentist | 3180 Rte 611, Fountain Court Suite 14, Bartonsville, PA 18321 | 2018-09-13 |
| 1962702605 | Mariama Foray | Registered Nurse | 12 Joann Road, Bartonsville, PA 18321 | 2010-10-28 |
| 1518183466 | Joseph J Sailus | Dentist | 102 State Route 611, Bartonsville Commons Suite #4, Bartonsville, PA 18321 | 2007-04-18 |
| 1902970098 | Gary Eugene Burkhart | Dentist | 99 Rt 611, Bartonsville, PA 18321 | 2006-11-20 |
| 1124364880 | Bartonsville Family Dental PC | Dentist | 3578 Route 611, Suite 245, Bartonsville, PA 18321-1767 | 2012-12-27 |
| 1972849644 | Tina Sebring | Behavioral Analyst | 232 Cherry Lane Rd, Bartonsville, PA 18321-7741 | 2012-12-27 |
| 1205281656 | William Bozek | Dentist | 3565 Route 611 Fl 2, Bartonsville, PA 18321-7800 | 2016-05-03 |
| 1821233578 | Bayada Home Health Care, Inc. | Home Health | 3565 Route 611 Ste 100, Bartonsville, PA 18321-7800 | 2008-12-10 |
| 1265467153 | Christopher Guy Peechatka | Chiropractor | 3199 Route 611, Bartonsville, PA 18321-7808 | 2006-07-11 |
| 1043467848 | Chris Peechatka Corrective Chiropractic PC | Chiropractor | 3199 Route 611, Bartonsville, PA 18321-7808 | 2008-08-22 |
| Find all providers in zip 18321 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 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 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | BARTONSVILLE |
| Zip Code | 18321 |
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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.