ST LUKE'S PHYSICIAN GROUP, INC (NPI# 1023592086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023592086 |
| Entity Type | Organization |
| Organization Name | ST LUKE'S PHYSICIAN GROUP, INC |
| Other Organization Name | ST. LUKE'S GENERAL SURGERY PALMERTON |
| Practice Address |
255 Delaware Ave Palmerton PA 18071-1812 |
| Practice Telephone | 6108264595 |
| Practice Fax Number | 6108264399 |
| Mailing Telephone | 6108264595 |
| Mailing Fax Number | 6108264399 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | SUE CHIAVAROLI (SUPERVISOR ENROLLMENTS) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Carbon Surgical Associates | Doing Business As Name - Organization |
| St. Luke's General Surgery Palmerton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406762 | St Luke's Physician Group, Inc | Internal Medicine | 21 Corporate Dr Ste 3, Easton, PA 18045-2664 | 2020-10-29 |
| 1659905347 | St Luke's Physician Group, Inc | Family Medicine | 134 W Ridge St, Lansford, PA 18232-1310 | 2020-03-03 |
| 1629610936 | St Luke's Physician Group, Inc | Dermatology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-10-09 |
| Street Address |
255 DELAWARE AVE |
| City | PALMERTON |
| State | PA |
| Zip Code | 18071-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083162671 | Alexandros Dimitriadis | Physician Assistant | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2016-09-13 |
| 1780638445 | Michael F Martinez | Surgery | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2006-05-19 |
| 1578515599 | Carbon Surgical Associates, PC | Surgery | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831478999 | Pamela Jean Tibbs | Social Worker | 3295 Forest Inn Rd Suite 3, Palmerton, PA 18071 | 2011-08-08 |
| 1164603247 | Nicholas Michael Varvarelis | Internal Medicine | 218-a Delaware Avenue, Palmerton, PA 18071 | 2007-11-17 |
| 1083834865 | Paul Michael Pontoski | Counselor | 4115 Forest Inn, Palmerton, PA 18071 | 2007-04-26 |
| 1346314242 | Mihalko Chiropractic PC | Chiropractor | 217 Franklin Avenue, Suite 6, Palmerton, PA 18071 | 2006-11-20 |
| 1881795524 | Richard Morris Uttard Jr. | Dentist | 3120 Fireline Road, Palmerton, PA 18071 | 2006-09-26 |
| 1992753065 | Stacey Ann Connell | Nurse Practitioner | 218a Delaware Avenue, Palmerton, PA 18071 | 2006-05-04 |
| 1477518488 | Steven E Albrich | Physician Assistant | 135 Lafyette Avenue, Palmerton, PA 18071 | 2006-04-20 |
| 1114995479 | Palmerton Emergency Physicians, Inc. | Emergency Medicine | 135 Lafayette Avenue, Palmerton, PA 18071 | 2006-03-10 |
| 1588635395 | Ahamed Karim | Psychiatry & Neurology | 185-a Delaware Avenue, Palmerton, PA 18071 | 2006-01-30 |
| 1326477951 | Palmerton Hospital | Skilled Nursing Facility | 135 Lafayette Avenue, Palmerton, PA 18071 | 2013-11-04 |
| Find all providers in zip 18071 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295057198 | Rajeev K Arora, M.d., P.C. | Surgery | 135 Lafayette Ave, Second Floor, Palmerton, PA 18071-1518 | 2010-02-18 |
| 1780638445 | Michael F Martinez | Surgery | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2006-05-19 |
| 1578515599 | Carbon Surgical Associates, PC | Surgery | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST LUKE'S PHYSICIAN GROUP, INC.
| 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.