ST LUKE'S PHYSICIAN GROUP, INC


Address: 801 Ostrum St, Bethlehem, PA 18015-1000
Phone: 4845267764

ST LUKE'S PHYSICIAN GROUP, INC (NPI# 1629610936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629610936
Entity Type Organization
Organization Name ST LUKE'S PHYSICIAN GROUP, INC
Other Organization Name ST. LUKE'S DERMATOPATHOLOGY
Practice Address 801 Ostrum St
Bethlehem
PA 18015-1000
Practice Telephone 4845267764
Practice Fax Number 4845266791
Mailing Telephone 4845262538
Enumeration Date 2019-10-09
Last Update Date 2019-10-15
Authorized Official Name ELISHA AMEY (ENROLLMENT SPECIALIST)
Authorized Official Telephone 4845262538
Authorized Official Credential ENROLLMENT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St. Luke's Dermatopathology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902406762 St Luke's Physician Group, Inc Internal Medicine 21 Corporate Dr Ste 3, Easton, PA 18045-2664 2020-10-29
1659905347 St Luke's Physician Group, Inc Family Medicine 134 W Ridge St, Lansford, PA 18232-1310 2020-03-03
1023592086 St Luke's Physician Group, Inc Surgery 255 Delaware Ave, Palmerton, PA 18071-1812 2018-09-17

Office Location

Street Address 801 OSTRUM ST
City BETHLEHEM
State PA
Zip Code 18015-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902809288 Steven T. Puccio Orthopaedic Surgery 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 2005-05-31
1356942635 Christopher Vila Physician Assistant 801 Ostrum St, Bethlehem, PA 18015-1000 2020-11-04
1114527801 Alexandria Lynn Strouse Registered Nurse 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-30
1174123079 Kelli Lynn Martin Nurse Practitioner 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-29
1457951345 Christopher Bauer Nurse Practitioner 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-29
1750989745 Amber Nicole Saylor Physician Assistant 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-13
1427656586 Sarah Anne Blum Physician Assistant 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-12
1972101061 Stephen Druckenmiller Physician Assistant 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-12
1780281014 Ryan Anthony Mathiesen Physician Assistant 801 Ostrum St, Bethlehem, PA 18015-1000 2020-10-09
1376169573 Sean Wesley Hamlin Surgery 801 Ostrum St, Bethlehem, PA 18015-1000 2020-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285253120 Lorrette Ayers Social Worker St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 2020-04-10
1982246278 Hannah Do Pharmacist 817 E 4th St Apt 1, Bethlehem, PA 18015 2019-10-08
1568023737 Nathan William White Orthopaedic Surgery 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 2019-06-27
1437710076 Samuel Schadt Student in an Organized Health Care Education/Training Program St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 2019-06-25
1437716537 Rachael Kramer Counselor 825 Delaware Avenue, Bethlehem, PA 18015 2019-05-23
1891358172 Marko Yacoub Dentist 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 2019-04-22
1649749748 Chelsea Marie Breimann Counselor 826 Deleware Avenue, Fountain Hill, PA 18015 2018-11-19
1780179986 Megan Minor Emergency Medicine 801 Ostrum St Ste 1, Bethlehem, PA 18015 2018-06-29
1831606128 Lehigh University Autism Services Clinic/Center 111 Research Dr., Bethlehem, PA 18015 2018-01-08
1669901476 Swati Agnihotri Dentist 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 2017-06-06
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164684767 Susan D Gisser Dermatology 515 Redleaf Rd, Wynnewood, PA 19096-1625 2008-06-26
1205851888 John T Seykora Dermatology 421 Curie Blvd, 1011 Brb, Philadelphia, PA 19104-4863 2006-07-13
1790722981 Debra Jih Dermatology 822 Pine St Ste 2a, Philadelphia, PA 19107-6187 2006-05-31
1013965011 Marisa Frances Baldassano Dermatology 828 Creekview Dr, Blue Bell, PA 19422-2729 2006-05-04
1174585418 Ethel Marsha Ziselman Dermatology 2 Castlebar Ln, Malvern, PA 19355 2006-04-03
1336141373 Thomas D Griffin Dermatology 3805 W Chester Pike, Newtown Square, PA 19073-2329 2005-08-10
1265431043 Stacey E. Englander-turner Dermatology 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 2005-07-14
1508865304 Christine S Stanko Dermatology 775 E Lancaster Ave Ste 200, Villanova, PA 19085 2005-07-14
1154329035 Nancy S House Dermatology 419 Walnut St, Sewickley, PA 15143-1535 2005-07-13
1922570498 Methodist Associates In Healthcare, Inc. Dermatology 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 2018-12-21
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Competitor

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City BETHLEHEM
Zip Code 18015

Improve Information

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Dataset Information

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.

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