ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1609977479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609977479 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Practice Address |
834 Eaton Ave Fl 1 Bethlehem PA 18018-1832 |
| Practice Telephone | 4845267474 |
| Practice Fax Number | 8338147405 |
| Mailing Telephone | 4845267474 |
| Mailing Fax Number | 8338147405 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-01-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1144834649 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 257 Brodhead Rd, Bethlehem, PA 18017-8938 | 2020-09-02 |
| 1689288110 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1021 Calypso Ave, Bethlehem, PA 18018-5005 | 2020-09-02 |
| 1962016477 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1621 Catasauqua Rd, Bethlehem, PA 18017-7407 | 2020-09-02 |
| Street Address |
834 EATON AVE FL 1 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016734 | Juanita Kaness | Registered Nurse | 834 Eaton Ave Fl 1, Bethlehem, PA 18018 | 2006-03-10 |
| 1700354412 | Kori J. Rusnock | Nurse Practitioner | 834 Eaton Ave Fl 1, Bethlehem, PA 18018-1832 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1487758066 | Allentown Womens Center | Obstetrics & Gynecology | 31 South Commerce Way, Suite 100, Bethlehem, PA 18017-8916 | 2006-09-12 |
| 1679503163 | Johnnie Springs Willis | Obstetrics & Gynecology | 685 Delaware Avenue, Bethlehem, PA 18015-1165 | 2006-07-03 |
| 1265489215 | Neil C Blumenthal | Obstetrics & Gynecology | 2300 Highland Ave, Bethlehem, PA 18020-8920 | 2006-05-27 |
| 1063414431 | John Roizin | Obstetrics & Gynecology | 31 S Commerce Way, Bethlehem, PA 18017-8992 | 2005-08-15 |
| 1104824457 | Kristen Stone Mulhern | Obstetrics & Gynecology | 306 S New St, Bethlehem, PA 18015 | 2005-07-11 |
| 1245856111 | Sarah Dominguez | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-17 |
| 1619591856 | Ashley Ohnona | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-03 |
| 1871116129 | Denese Brown | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-05-21 |
| 1053933648 | Kathleen Eleanor Ackert | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-05-18 |
| 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.