ST LUKE'S PHYSICIAN GROUP INC (NPI# 1699851709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699851709 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S PHYSICIAN GROUP INC |
| Other Organization Name | ST. LUKE'S PEDIATRIC SPECIALISTS |
| Practice Address |
153 Brodhead Rd Bethlehem PA 18017-8931 |
| Mailing Address |
623 E Broad St 2nd Flr Bethlehem PA 18018-6332 |
| Practice Telephone | 6109544975 |
| Practice Fax Number | 6109546485 |
| Mailing Telephone | 6109546048 |
| Mailing Fax Number | 6109543189 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEAN W EVANS (PRESIDENT) |
| Authorized Official Telephone | 6109544991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST. LUKE'S PEDIATRIC SPECIALISTS | 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 |
| 1679039556 | St Luke's Physician Group Inc | Obstetrics & Gynecology | 1251 Turnstone Drive, Suite 230, Fogelsville, PA 18051 | 2019-02-15 |
| 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 |
| Street Address |
153 BRODHEAD RD |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809241 | Oscar F Murillo | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2006-02-09 |
| 1124659982 | Emily Mesaris | Occupational Therapist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-30 |
| 1891326815 | Amy Stone Taylor | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-29 |
| 1932730066 | Laurie Lynn Risi | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-28 |
| 1558991885 | Jennifer Suzanne Jones | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-26 |
| 1932739521 | Alexandra Fay Irr | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1790315448 | Mark Daniel Hrycko | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1679112577 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-26 |
| 1093353906 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1659919553 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295876167 | St. Luke's Physician Group Inc | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2007-02-12 |
| 1952475808 | Lehigh Valley Physician Group | Pediatrics | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1548693385 | Susan R Orenstein | Pediatrics | 1257 Pocono St, Pittsburgh, PA 15218-1111 | 2013-08-15 |
| 1750609129 | Pediatric Gastroenterology Associates | Pediatrics | 11 Sprint Dr Ste B, Carlisle, PA 17015-7789 | 2010-05-11 |
| 1861690844 | Sapana J Shah | Pediatrics | 4401 Penn Ave Fl 6, Pittsburgh, PA 15224-1334 | 2007-07-11 |
| 1619198769 | David A Blanco | Pediatrics | Erie Ave At Fron St - Scpa Gastroenterology, Nelson Pavilion Ste 2045, Philadelphia, PA 19134 | 2007-05-02 |
| 1053496133 | Joan S. Dipalma | Pediatrics | Dupont At Jefferson-chestnut, 1015 Chestnut Street Suite 601, Philadelphia, PA 19107-4306 | 2006-10-26 |
| 1689759789 | Sheeja K. Abraham | Pediatrics | 1015 Chestnut Street Suite 601, Nemours Childrens Clinic, Philadelphia, Philadelphia, PA 19107-4306 | 2006-10-26 |
| 1841229952 | Naser Tolaymat | Pediatrics | 1210 S Cedar Crest Blvd Ste 2300, Allentown, PA 18103-6252 | 2006-07-01 |
| 1003854050 | R.chandra, M.d.,p.c. | Pediatrics | 1517 Fox Chase Ln, Pittsburgh, PA 15241-3147 | 2006-06-03 |
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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.