ST LUKE'S PHYSICIAN GROUP INC (NPI# 1134487119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134487119 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S PHYSICIAN GROUP INC |
| Other Organization Name | ST. LUKE'S ASHLAND FAMILY PRACTICE |
| Practice Address |
530 Centre St Ashland PA 17921-1330 |
| Practice Telephone | 5708893103 |
| Practice Fax Number | 8662308090 |
| Mailing Telephone | 5708893103 |
| Mailing Fax Number | 8662308090 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | DEAN W EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845264991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
PA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Ashland Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 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 |
| 1528132107 | St Luke's Physician Group Inc | Anesthesiology | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-11-17 |
| Street Address |
530 CENTRE ST |
| City | ASHLAND |
| State | PA |
| Zip Code | 17921-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104094291 | Kristin O'donnell | Nurse Practitioner | 530 Centre St, Ashland, PA 17921-1330 | 2008-02-12 |
| 1780160416 | Bettina L Heinsohn | Nurse Practitioner | 530 Centre St, Ashland, PA 17921-1330 | 2018-07-16 |
| 1134544497 | St. Luke's Physician Group Inc | General Practice | 530 Centre St, Ashland, PA 17921-1330 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093933749 | Gaudenzia Inc | Clinic/Center | 91 Broad Street, Ashland, PA 17921 | 2007-04-20 |
| 1124193743 | John William Stefovic | General Practice | 530 Centre Street, Ashland, PA 17921 | 2006-11-21 |
| 1063594570 | John E Wolfgang | Chiropractor | 1028 Centre Street, Ashland, PA 17921 | 2006-10-20 |
| 1043204670 | Concept Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 639 Chestnut St, Ashland, PA 17921 | 2005-09-09 |
| 1295998169 | Jason John Clarity | Internal Medicine | 101 Broad St., St. Catherine Medical Center, Ashland, PA 17921 | 2008-07-09 |
| 1649339383 | Mark David Gernerd | Emergency Medicine | 101 Broad Street, Saint Catherine Medical Center Fountain Springs, Ashland, PA 17921 | 2006-12-08 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 1215247846 | Kimberly Kay Walacavage | Occupational Therapist | 2130 Centre St, Ashland, PA 17921-1015 | 2010-10-17 |
| 1720611726 | Cornerstone Coordinated Health Care, LLC | Family Medicine | 2114 Centre St, Ashland, PA 17921-1015 | 2020-02-18 |
| 1164414934 | Washington Fire Company and Community Ambulance | Ambulance | 1309 W Center St, Ashland, PA 17921-1102 | 2005-08-18 |
| Find all providers in zip 17921 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1619405453 | Mount Ashland Family Practice Inc | Family Medicine | 611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 | 2017-05-24 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1043611015 | Bellefonte Physician Services, Inc. | Family Medicine | 2910 Carter Ave, Ashland, KY 41101-1943 | 2014-09-10 |
| 1497980254 | Brianne Clark | Family Medicine | 709 W Oak, Ashland, KS 67831 | 2009-05-22 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| 1194987461 | Luke Anthony Stephens | Family Medicine | 101 Redtail Dr, Ste C, Ashland, MO 65010-1180 | 2008-06-27 |
| 1104085174 | Renee C Schroeder | Family Medicine | 213 10th Ave W, Ashland, WI 54806-1328 | 2008-06-05 |
| 1396911327 | Sanjiv Gupta M.d. P.s.c. | Family Medicine | 101 Ashland Dr, Ashland, KY 41101-7001 | 2008-04-30 |
| 1013191477 | Jerome Stanford Nitzberg | Family Medicine | 273 Granite St, Ashland, OR 97520-2746 | 2007-12-20 |
| Find all providers in ASHLAND | ||||
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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.