ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1679820096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679820096 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Practice Address |
701 Ostrum St Ste 201 Fountain Hill PA 18015-1152 |
| Practice Telephone | 4845266545 |
| Practice Fax Number | 4845266546 |
| Mailing Telephone | 4845266545 |
| Mailing Fax Number | 4845266546 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-01-25 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Ostrum St, Suite 201, Fountain Hill, PA 180151155 | 4845267575 | 4845267576 |
| 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 |
701 OSTRUM ST STE 201 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441354 | Joseph J Minissale Jr. | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2005-07-20 |
| 1902315716 | Jessica Ketty Nalepka | Physician Assistant | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2017-09-25 |
| 1164970927 | Jessica Thompson | Physician Assistant | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2016-09-21 |
| 1952664989 | Diana Marie Jaiyeola | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2012-06-25 |
| 1275891053 | Mechu M Narayanan | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2012-04-30 |
| 1861788531 | Sarina Kapoor | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-06-21 |
| 1477842912 | Gurshawn Singh | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-04-05 |
| 1043509037 | Yecheskel Schneider | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-03-31 |
| 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 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441354 | Joseph J Minissale Jr. | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2005-07-20 |
| 1952664989 | Diana Marie Jaiyeola | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2012-06-25 |
| 1588947469 | Zheng Lin | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2011-09-27 |
| 1861788531 | Sarina Kapoor | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-06-21 |
| 1477842912 | Gurshawn Singh | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-04-05 |
| 1043509037 | Yecheskel Schneider | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-03-31 |
| 1417283219 | Ronak S Modi | Internal Medicine | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2009-10-29 |
| 1376781492 | Berhanu M Geme | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2009-01-27 |
| 1194940601 | Sinan Kutty | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2007-04-17 |
| 1295817484 | Edward C H Chen, M.d. | Internal Medicine | 701 Ostrum St, Suite 301, Fountain Hill, PA 18015-1155 | 2006-10-19 |
| Find all providers in FOUNTAIN HILL | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
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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.