ST. LUKE'S PHYSICIAN GROUP (NPI# 1407339856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407339856 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP |
| Other Organization Name | ST. LUKE'S ZAHRA PEDIATRICS |
| Practice Address |
419 King St East Stroudsburg PA 18301-1206 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 5704248300 |
| Practice Fax Number | 5704248301 |
| Mailing Telephone | 4845264000 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | SUE CHIAVAROLI (SUPERVISOR) |
| Authorized Official Telephone | 4845263569 |
| 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 Zahra Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069474 | St. Luke's Physician Group | Pediatrics | 217 Franklin Ave Ste 5, Palmerton, PA 18071-1521 | 2014-02-26 |
| 1093906711 | St. Luke's Physician Group | Orthopaedic Surgery | 28 S 14th St, Quakertown, PA 18951-1147 | 2007-08-07 |
| Street Address |
419 KING ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527279 | Ramlah Mohyuddin Vahanvaty | Pediatrics | 419 King St, East Stroudsburg, PA 18301 | 2006-05-19 |
| 1932205754 | Zahra Pediatrics LLC | Pediatrics | 419 King St, East Stroudsburg, PA 18301-1206 | 2006-09-16 |
| 1225082753 | Moiz Mohyuddin | Pediatrics | 419 King St, East Stroudsburg, PA 18301-1206 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| 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 |
|---|---|---|---|---|
| 1164677530 | Annette Vazquez-aran | Pediatrics | 9090 Franklin Hill Rd Ste 201, East Stroudsburg, PA 18301-9105 | 2008-11-26 |
| 1679527279 | Ramlah Mohyuddin Vahanvaty | Pediatrics | 419 King St, East Stroudsburg, PA 18301 | 2006-05-19 |
| 1396705596 | Garry A. Hamilton | Pediatrics | 175 E Brown St Ste 108, Pocono Kids Pediatrics, East Stroudsburg, PA 18301-3098 | 2006-03-23 |
| 1124090196 | Uchenna Rebecca Ufondu | Pediatrics | 302 E Brown St, Ste A, East Stroudsburg, PA 18301 | 2006-02-03 |
| 1174943294 | Kimberly Downes | Pediatrics | 175 E Brown St, East Stroudsburg, PA 18301-3098 | 2014-04-16 |
| 1154609048 | Yoon-taek Chun Md PC | Pediatrics | 263 Prospect St, East Stroudsburg, PA 18301-2943 | 2011-07-27 |
| 1235391400 | Subhasri L Sangam | Pediatrics | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2008-06-30 |
| 1821137415 | Pocono Pediatric Associates Inc | Pediatrics | 9090 Franklin Hill Road, Suite 2021, East Stroudsburg, PA 18301-9103 | 2007-02-06 |
| 1194875351 | Jose R Bordas | Pediatrics | 175 E Brown St, Suite 108, East Stroudsburg, PA 18301-3098 | 2007-01-11 |
| 1932205754 | Zahra Pediatrics LLC | Pediatrics | 419 King St, East Stroudsburg, PA 18301-1206 | 2006-09-16 |
| Find all providers in EAST STROUDSBURG | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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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.