ST. LUKE'S PHYSICIAN GROUP, INC.


Address: 701 Ostrum St, Suite 303, Fountain Hill, PA 18015-1155
Phone: 4845263900

ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1003867623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003867623
Entity Type Organization
Organization Name ST. LUKE'S PHYSICIAN GROUP, INC.
Practice Address 701 Ostrum St
Suite 303
Fountain Hill
PA 18015-1155
Mailing Address 701 Ostrum St Ste 303
Fountain Hill
PA 18015-1152
Practice Telephone 4845263900
Practice Fax Number 8664107401
Mailing Telephone 4845263900
Mailing Fax Number 8664107401
Enumeration Date 2006-05-16
Last Update Date 2018-01-24
Authorized Official Name DEAN W. EVANS (PRESIDENT)
Authorized Official Telephone 4845264911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007307530188 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
701 Ostrum St, Suite 303, Fountain Hill, PA 180151155 4845263900 4845263908

Other Provider IDs and Locations

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

Office Location

Street Address 701 OSTRUM ST
SUITE 303
City FOUNTAIN HILL
State PA
Zip Code 18015-1155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508869710 Robert S Gayner Internal Medicine 701 Ostrum St, Suite 602, Fountain Hill, PA 18015-1155 2005-05-23
1417571720 Daniel George Franey Surgery 701 Ostrum St, Fountain Hill, PA 18015-1155 2020-06-02
1295359594 Anthony Patrick Allsbrook Surgery 701 Ostrum St, Fountain Hill, PA 18015-1155 2020-06-02
1346782182 Robbie S Hicks Physician Assistant 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 2016-11-10
1265983522 Alexandra Therese Heavilon Physician Assistant 701 Ostrum St, Suite 403, Fountain Hill, PA 18015-1155 2016-10-20
1295285773 Jacqueline Edwards Physician Assistant 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 2016-10-10
1144693284 Ellyn Yackanicz Physician Assistant 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 2015-11-12
1528430931 Hayley Rose Stauffer Physician Assistant 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 2015-10-25
1063880961 Faith Burns Physician Assistant 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 2015-09-09
1003218777 Breanna Little Physician Assistant 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1155 2014-09-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457681009 Christopher Wayock Obstetrics & Gynecology 701 Ostrum St, Suite 303, Fountain Hill, PA 18015-1155 2010-01-04
1134394695 Meredith L. Birsner Obstetrics & Gynecology 701 Ostrum St Ste 303, Fountain Hill, PA 18015-1152 2008-04-25
1104879204 Joseph G. Bell Obstetrics & Gynecology 701 Ostrum St, Suite 303, Fountain Hill, PA 18015-1155 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376069914 Lancaster Maternal Fetal Medicine LLC Obstetrics & Gynecology 108 Foxshire Dr, Lancaster, PA 17601-3982 2017-08-15
1467775304 Sheila Marie Ward Obstetrics & Gynecology 201 W Chapel Ridge Rd, Pittsburgh, PA 15238-1831 2010-03-07
1861689010 Harlan R. Giles, Md PC Obstetrics & Gynecology 100 Fleet St, Suite 102, Pittsburgh, PA 15220-2907 2007-10-02
1255540159 Richard Douglas Ross Obstetrics & Gynecology 2131 Saint James St, Philadelphia, PA 19103-4804 2007-05-21
1881729549 Richard Deveaux Obstetrics & Gynecology The Reading Hospital & Medical Center, Sixth Avenue & Spruce Street, West Reading, PA 19611 2007-02-22
1689720963 Nancy Kieser Bridgens Obstetrics & Gynecology 495 W Ridge Pike, Limerick, PA 19468-1415 2007-01-26
1194883306 Reading Hospital Obstetrics & Gynecology 301 S 7th Ave Ste 200, West Reading, PA 19611-1410 2006-12-04
1033213608 Dubois Regional Medical Center Obstetrics & Gynecology 869 Beaver Dr, Du Bois, PA 15801-2511 2006-09-12
1922111012 Leonard Wayne Hess Obstetrics & Gynecology 245 Evergreen Dr, Franklin, PA 16323-1811 2006-08-16
1861409146 Robert B Gherman Obstetrics & Gynecology 35 Monument Rd Ste 202, York, PA 17403-5074 2006-08-01
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Competitor

Search similar providers

City FOUNTAIN HILL
Zip Code 18015

Improve Information

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Dataset Information

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.

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