ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1700984622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700984622 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Other Organization Name | SOUTH MOUNTAIN FAMILY PRACTICE |
| Practice Address |
1545 Broadway Bethlehem PA 18015-3901 |
| Practice Telephone | 6108656112 |
| Practice Fax Number | 6108653307 |
| Mailing Telephone | 6108656112 |
| Mailing Fax Number | 6108653307 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-05-11 |
| 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 |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | PA | Nursing & Custodial Care Facilities | |
| Y | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTH MOUNTAIN FAMILY PRACTICE | Doing Business As Name - Organization |
| 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 |
1545 BROADWAY |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669583514 | Michael A Abgott | Family Medicine | 1545 Broadway, Bethlehem, PA 18015-3901 | 2006-08-31 |
| 1487027207 | Carolyn Morganelli | Nurse Practitioner | 1545 Broadway, Bethlehem, PA 18015-3901 | 2015-11-02 |
| 1932410362 | Fan Cheng | Family Medicine | 1545 Broadway, Bethlehem, PA 18015-3901 | 2010-06-30 |
| 1427201904 | Margaret Edgar | Nurse Practitioner | 1545 Broadway, Bethlehem, PA 18015-3901 | 2008-10-29 |
| 1508977307 | Mary Margaret Lang | Nurse Practitioner | 1545 Broadway, Bethlehem, PA 18015-3901 | 2006-08-31 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605522 | St. Luke's Physician Group Inc | Family Medicine | 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020-8037 | 2020-03-23 |
| 1376035485 | Natasha Mozumdar | Family Medicine | 3024 Easton Avenue, Bethlehem, PA 18017-4208 | 2018-06-04 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1518398163 | Charles Frederick Thompson Jr. | Family Medicine | 3807 Wilhelm Rd, Bethlehem, PA 18015-5935 | 2013-12-09 |
| 1609198944 | St. Luke's Hospital | Family Medicine | 1210 E. 4th St, Bethlehem, PA 18015 | 2010-02-26 |
| 1134455892 | Hamid Mukhtar | Family Medicine | 2649 Schoenersville Rd Ste 100, Bethlehem, PA 18017-7326 | 2009-10-30 |
| 1124236187 | Calvin Morgan Terrelonge | Family Medicine | 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794 | 2007-05-21 |
| 1235259995 | Mary Anne A Pajel-sio Md PC | Family Medicine | 2551 Baglyos Cir, Suite A-10, Bethlehem, PA 18020-8042 | 2007-03-29 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1578645123 | Vellore Medical Associates,p.c. | Family Medicine | 3893 Adler Pl, Suite 160, Bldg B, Bethlehem, PA 18017-9072 | 2006-10-20 |
| Find all providers in BETHLEHEM | ||||
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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.