ST LUKE'S PHYSICIAN GROUP INC (NPI# 1679039556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679039556 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S PHYSICIAN GROUP INC |
| Practice Address |
1251 Turnstone Drive Suite 230 Fogelsville PA 18051 |
| Practice Telephone | 4848225155 |
| Practice Fax Number | 4848225164 |
| Mailing Telephone | 4848225155 |
| Mailing Fax Number | 4848225164 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | DEAN W EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845262538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's OB/GYN Complete Women's Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1548821374 | St Luke's Physician Group Inc | Psychiatry & Neurology | 451 Chew St, Allentown, PA 18102-3472 | 2019-06-24 |
| 1376003541 | St Luke's Physician Group Inc | Podiatrist | 303 W Broad St, Bethlehem, PA 18018-5526 | 2019-03-22 |
| 1992294045 | St Luke's Physician Group Inc | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-05-04 |
| 1750891958 | St Luke's Physician Group Inc | Pediatrics | 1700 St Lukes Blvd Ste 403, Easton, PA 18045-5670 | 2017-10-03 |
| 1699297572 | St Luke's Physician Group Inc | Registered Nurse | 1425 8th Ave, Bethlehem, PA 18018-2256 | 2017-07-12 |
| 1417478413 | St Luke's Physician Group Inc | Pediatrics | 501 Cetronia Rd Ste 115, Allentown, PA 18104-9569 | 2017-06-29 |
| 1134487119 | St Luke's Physician Group Inc | Family Medicine | 530 Centre St, Ashland, PA 17921-1330 | 2012-04-27 |
| 1528132107 | St Luke's Physician Group Inc | Anesthesiology | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2006-11-17 |
| Street Address |
1251 TURNSTONE DRIVE SUITE 230 |
| City | FOGELSVILLE |
| State | PA |
| Zip Code | 18051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326492257 | St. Luke's Physician Group Inc | Family Medicine | 1251 Turnstone Drive, Suite 120, Fogelsville, PA 18051-1713 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926046 | Kathryn M Kalman | Pharmacist | 7801 Gelnlivet Dr W, Fogelsville, PA 18051 | 2019-08-03 |
| 1003386061 | Jeanne Marie Kuchta | Pharmacist | 7801 Glenlivet Drive West, Fogelsville, PA 18051 | 2018-12-03 |
| 1134679178 | Julie Boyson | Physician Assistant | 1431 Nursery St Ste 101a, Fogelsville, PA 18051 | 2016-10-13 |
| 1518211135 | Weis Markets Inc | Pharmacy | 7801 Glenlivet West Drive, Fogelsville, PA 18051 | 2012-11-05 |
| 1114069796 | Brookhaven Center for Counseling and Development | Psychologist | 2307 Cove Road, Fogelsville, PA 18051 | 2007-02-12 |
| 1689761082 | David W Daley Do PC | Psychiatry & Neurology | 7729 Main Street, Fogelsville, PA 18051 | 2006-10-06 |
| 1033145271 | Robert Michael Taxin | Family Medicine | 7619 Tilghman St, Fogelsville, PA 18051 | 2006-06-22 |
| 1417901588 | Linda Sue Critzer | Registered Nurse | 7918 Main Street, Suite #204, Fogelsville, PA 18051 | 2006-05-21 |
| 1306257514 | Rinehart Family Eye Care PC | Optometrist | 7801 Glenlivet West Drive, Suite D, Fogelsville, PA 18051 | 2014-05-12 |
| 1225386600 | Krista L Welter | Counselor | 726 Church Street, Fogelsville, PA 18051 | 2012-08-16 |
| Find all providers in zip 18051 | ||||
| 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 |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | FOGELSVILLE |
| Zip Code | 18051 |
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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.