ST. LUKE'S PHYSICIAN GROUP, INC (NPI# 1639738594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639738594 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC |
| Practice Address |
421 Chew St Allentown PA 18102-3406 |
| Practice Telephone | 6107764500 |
| Mailing Telephone | 6107764500 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | DEAN W 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 Sacred Heart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1912465592 | St. Luke's Physician Group, Inc | Family Medicine | 426 W Railroad St Ste 1, Nesquehoning, PA 18240-1414 | 2019-03-04 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1639554942 | St. Luke's Physician Group, Inc | Internal Medicine | 2599 State Route 903, Albrightsville, PA 18210 | 2015-07-28 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| 1750683546 | St. Luke's Physician Group, Inc | Family Medicine | 2550 Pa Route 100, Suite 220, Macungie, PA 18062-9652 | 2010-11-30 |
| 1780293241 | St. Luke's Physician Group, Inc | Internal Medicine | 161 N Main St, Dublin, PA 18917-1302 | 2020-07-30 |
| 1447801535 | St. Luke's Physician Group, Inc | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-09-20 |
| 1124685425 | St. Luke's Physician Group, Inc | Surgery | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-05-22 |
| Street Address |
421 CHEW ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652673 | Sanjay C Kansara | Anesthesiology | 421 Chew St, Allentown, PA 18102-3406 | 2005-07-12 |
| 1073081089 | Brenna Kay Smudde | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-11-07 |
| 1518441757 | Alexandra Yrievna Savkova | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-09-24 |
| 1508346701 | Christine A Fischer | Physician Assistant | 421 Chew St, Allentown, PA 18102-3406 | 2018-08-16 |
| 1750893400 | Diana Marie Ciminieri | Registered Nurse | 421 Chew St, Allentown, PA 18102-3406 | 2017-11-02 |
| 1467904540 | Sacred Heart Hospital Pharmacy | Pharmacy | 421 Chew St, Allentown, PA 18102-3406 | 2016-10-25 |
| 1992140198 | Cynthia Chayka | Dietitian, Registered | 421 Chew St, Allentown, PA 18102-3406 | 2013-05-02 |
| 1174967293 | Tanner Folster | Emergency Medicine | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-19 |
| 1306289954 | Emily Lisco | Psychiatry & Neurology | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-14 |
| 1275876831 | Bernadette Marie Hoffmann | Nurse Practitioner | 421 Chew St, Allentown, PA 18102-3406 | 2013-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| 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 |
|---|---|---|---|---|
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1386172260 | Lisa Kurth | Surgery | 1 City Center, Department of Surgery, Allentown, PA 18105 | 2017-05-23 |
| 1871020313 | Daniel Kuehler | Surgery | Po Box 1806, Allentown, PA 18105-1806 | 2017-05-15 |
| 1699166827 | Qss Pennsylvania Pllc | Surgery | 1664 Chestertown Rd, Allentown, PA 18104-1629 | 2015-02-10 |
| 1336555655 | Alvaro Galvez Lima | Surgery | 240 Cetronia Rd Ste 200n, Allentown, PA 18104-9182 | 2014-07-08 |
| 1154732725 | Mark Wiseman | Surgery | 1247 S. Cedar Crest Blvd, Allentown, PA 18103 | 2014-05-16 |
| 1912326380 | Sarah Beth Himmelstein | Surgery | 451 Chew St Ste 304, Allentown, PA 18102-3423 | 2014-04-14 |
| 1881979631 | Robert Frank Gilbert | Surgery | 189 Province Line Rd, Allentown, NJ 08501-1423 | 2011-10-12 |
| 1912202748 | Tamar D Earnest | Surgery | 2620 W Walnut St, Allentown, PA 18104-6231 | 2011-01-26 |
| 1134395668 | Yee Cheng Low | Surgery | 1243 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6268 | 2008-05-05 |
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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.