ST. LUKE'S PHYSICIAN GROUP INC (NPI# 1326675216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326675216 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC |
| Practice Address |
2111 Washington Blvd Fl 1 Easton PA 18042-3803 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6104386878 |
| Mailing Telephone | 4845264000 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | SUE CHIAVAROLI (CVO SUPERVISOR) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Washington Blvd Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605522 | St. Luke's Physician Group Inc | Family Medicine | 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020-8037 | 2020-03-23 |
| 1669009551 | St. Luke's Physician Group Inc | Family Medicine | 3729 Nazareth Rd Ste 204, Easton, PA 18045-8344 | 2020-03-23 |
| 1710514617 | St. Luke's Physician Group Inc | Family Medicine | 1800 Sullivan Trl Ste 201, Easton, PA 18040-8493 | 2020-03-23 |
| 1619504503 | St. Luke's Physician Group Inc | Family Medicine | 2925 William Penn Hwy Ste 201, Easton, PA 18045-5283 | 2020-03-23 |
| 1477033983 | St. Luke's Physician Group Inc | Family Medicine | 2003 Sullivan Trl Ste 5, Easton, PA 18040 | 2018-08-15 |
| 1326492257 | St. Luke's Physician Group Inc | Family Medicine | 1251 Turnstone Drive, Suite 120, Fogelsville, PA 18051-1713 | 2016-04-18 |
| 1194196402 | St. Luke's Physician Group Inc | Family Medicine | 1254 Interchange Rd, Lehighton, PA 18235-9069 | 2015-10-13 |
| 1982804316 | St. Luke's Physician Group Inc | Orthopaedic Surgery | 28 S. 14th St, Quakertown, PA 18951 | 2007-07-24 |
| 1538796412 | St. Luke's Physician Group Inc | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2020-03-23 |
| 1750918652 | St. Luke's Physician Group Inc | Family Medicine | 2461 Nazareth Rd, Easton, PA 18045-2743 | 2020-03-23 |
| Street Address |
2111 WASHINGTON BLVD FL 1 |
| City | EASTON |
| State | PA |
| Zip Code | 18042-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1639539109 | Nihit Shah | Internal Medicine | 250 S 21st St # Easton, Easton, PA 18042-3851 | 2016-02-26 |
| 1760874382 | Andreea Davis | Internal Medicine | 100 N 3rd St Fl 2, Easton, PA 18042-1869 | 2015-02-19 |
| 1679819908 | Blue Mountain Psychiatry, LLC | Internal Medicine | 241 N 13th St Ste 201, Easton, PA 18042 | 2012-12-13 |
| 1578791745 | Marina Vasilievna Polskaya | Internal Medicine | 65 Hunting Ridge Rd, Easton, CT 06612-1018 | 2009-06-26 |
| 1689809535 | Ketan Desai | Internal Medicine | 1175 Spring Rd, Easton, PA 18040-8261 | 2009-05-21 |
| 1134381981 | Ashwani Gupta | Internal Medicine | 1800 Sullivan Trl Ste 200, Easton, PA 18040-8493 | 2008-07-01 |
| 1275701856 | Rama R Batchu | Internal Medicine | 250 South 21 Street, Easton Hospital, Easton, PA 18042 | 2008-02-15 |
| 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.