ST. LUKE'S PHYSICIAN GROUP INC. (NPI# 1417565847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417565847 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC. |
| Practice Address |
5325 Northgate Dr Ste 204 Bethlehem PA 18017-9413 |
| Practice Telephone | 6108655535 |
| Practice Fax Number | 6108654300 |
| Mailing Telephone | 6108655535 |
| Mailing Fax Number | 6108654300 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | DEAN EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845263383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's General Surgery - Anderson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| 1053957688 | St. Luke's Physician Group Inc. | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-11-19 |
| 1093270019 | St. Luke's Physician Group Inc. | Pediatrics | 7001 N Route 309, Coopersburg, PA 18036-1109 | 2019-02-04 |
| 1235602459 | St. Luke's Physician Group Inc. | Internal Medicine | 1107 Bethlehem Pike, Sellersville, PA 18960-1454 | 2019-01-10 |
| 1265905483 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 207 N Main St, Nazareth, PA 18064-1444 | 2019-01-10 |
| 1174013395 | St. Luke's Physician Group Inc. | Pediatrics | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-14 |
| 1225528730 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 3420 Walbert Avenue, Suite 100, Allentown, PA 18104-1700 | 2018-05-10 |
| 1437695095 | St. Luke's Physician Group Inc. | Internal Medicine | 701 Ostrum St Ste 103, Fountain Hill, PA 18015-1152 | 2017-01-06 |
| 1770028136 | St. Luke's Physician Group Inc. | Otolaryngology | 120 Pine St, Suite B, Tamaqua, PA 18252 | 2016-12-21 |
| Street Address |
5325 NORTHGATE DR STE 204 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| 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 |
|---|---|---|---|---|
| 1922294628 | Crystal Cunningham | Surgery | 5452 Jaclyn Ln, Bethlehem, PA 18017-9054 | 2007-09-18 |
| 1730134974 | Anthony D, Dippolito | Surgery | 1330 Center St, Bethlehem, PA 18018-2528 | 2006-05-24 |
| 1235112293 | Tribhuvan Kumar Pendurthi | Surgery | 3600 Fairview St, Bethlehem, PA 18017-8923 | 2005-11-23 |
| 1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
| 1023648870 | Lvhn Coordinated Professional Practice | Surgery | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2020-01-21 |
| 1164066502 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| 1487213666 | Kyle William Dammann | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-06-11 |
| 1982263794 | Alyssa Marie Green | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-06-06 |
| 1235624701 | Richard Vandegraaf | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-06-27 |
| 1508351925 | James George Macconchie IIi | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-06-27 |
| Find all providers in BETHLEHEM | ||||
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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.