ST. LUKE'S PHYSICIAN GROUP INC (NPI# 1477033983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477033983 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC |
| Other Organization Name | ST. LUKE'S FAMILY PRACTICE FORKS |
| Practice Address |
2003 Sullivan Trl Ste 5 Easton PA 18040 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845036400 |
| Practice Fax Number | 8338201006 |
| Mailing Telephone | 4845266048 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JOSEPH MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845266162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Family Practice Forks | 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 |
| 1326675216 | St. Luke's Physician Group Inc | Internal Medicine | 2111 Washington Blvd Fl 1, Easton, PA 18042-3803 | 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 |
| 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 |
2003 SULLIVAN TRL STE 5 |
| City | EASTON |
| State | PA |
| Zip Code | 18040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577683 | Ryan Toth | Pharmacist | 3825 Sullivan Trail, Easton, PA 18040 | 2018-11-24 |
| 1689188807 | Pacifico Dental Care of Forks | Clinic/Center | 2202 Sullivan Trail, Easton, PA 18040 | 2017-11-27 |
| 1588953541 | Weis Markets Inc | Pharmacy | 3825 Sullivan Trl, Easton, PA 18040 | 2011-03-30 |
| 1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
| 1871801209 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 2222 Sullivan Trail, Easton, PA 18040 | 2010-09-20 |
| 1326206798 | Damaris Vanderhall | Social Worker | 1011 George St Apt 2k, Easton, PA 18040 | 2008-06-01 |
| 1902011844 | Frank G Greco | Pharmacist | 1955 Sullivan Trail, Easton, PA 18040 | 2007-05-14 |
| 1720199805 | Carl Joseph Milano | Oral & Maxillofacial Surgery | 1412 Sullivan Trl, Easton, PA 18040 | 2006-08-31 |
| 1679516199 | Randall A Weston | Occupational Therapist | 2222 Sullivan Trl, Easton, PA 18040 | 2006-06-13 |
| 1508343906 | St Lukes Hospital | Emergency Medicine | 2003 Sullivan Trl, Easton, PA 18040 | 2018-07-27 |
| Find all providers in zip 18040 | ||||
| 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 |
|---|---|---|---|---|
| 1437770971 | Bradley James Orr | Family Medicine | Medical Education Office, 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-05-06 |
| 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 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1932510278 | Okju Patrylo | Family Medicine | 2401 Northampton St Ste 130, Easton, PA 18045-2764 | 2014-05-08 |
| 1457607079 | Andrew J Goodbred | Family Medicine | 352 Northampton St., Easton, PA 18042 | 2012-08-01 |
| Find all providers in EASTON | ||||
Please comment or provide details below to improve the information on ST. LUKE'S PHYSICIAN GROUP INC.
| 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.