STEWARD MEDICAL GROUP INC. (NPI# 1073054458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073054458 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP INC. |
| Other Organization Name | SMG TRI-STATE REGION |
| Practice Address |
21 Corporate Dr Ste. 1 Easton PA 18045-2664 |
| Mailing Address |
9 Galen St Watertown MA 02472-4515 |
| Practice Telephone | 6154674158 |
| Practice Fax Number | 6154671267 |
| Mailing Telephone | 6175625359 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | ASHLEY KOCH (CFO) |
| Authorized Official Telephone | 6175625359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG Tri-State Region | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991057 | Steward Medical Group Inc. | Clinic/Center | 736 Cambridge St, Brighton, MA 02135-2907 | 2017-06-08 |
| 1902347438 | Steward Medical Group Inc. | Family Medicine | 7264 Warren Sharon Rd, Brookfield, OH 44403-9691 | 2017-03-16 |
| Street Address |
21 CORPORATE DR STE. 1 |
| City | EASTON |
| State | PA |
| Zip Code | 18045-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293644 | Joel M Brooks | Dentist | 21 Corporate Dr, Ste 5, Easton, PA 18045-2664 | 2005-05-24 |
| 1023450582 | Koury Colorectal Associates, P.C. | Colon & Rectal Surgery | 21 Corporate Dr, Suite 6, Easton, PA 18045-2664 | 2013-07-25 |
| 1124216056 | Ashleigh L Crozier | Physician Assistant | 21 Corporate Dr, Suite 1, Easton, PA 18045-2664 | 2007-10-04 |
| 1538299953 | Stanley Robert Walker | Internal Medicine | 21 Corporate Dr, Suite 1, Easton, PA 18045-2664 | 2007-03-06 |
| 1083740344 | Stanley R Walker Mdpc | Internal Medicine | 21 Corporate Dr, Suite 1, Easton, PA 18045-2664 | 2007-02-23 |
| 1700803897 | Gary Lee Dietterick | Optometrist | 21 Corporate Dr, Easton, PA 18045-2664 | 2006-07-16 |
| 1639115751 | Christine H Beck | Rehabilitation Practitioner | 21 Corporate Dr, Suite #6, Easton, PA 18045-2664 | 2006-06-20 |
| 1467412924 | Nirmal Gupta | Podiatrist | 21 Corporate Dr, Suite 3, Easton, PA 18045-2664 | 2006-03-27 |
| 1407836851 | Gary Lee Dietterick | Optometrist | 21 Corporate Dr, Ste.#2, Easton, PA 18045-2664 | 2006-01-20 |
| 1235121146 | Maheshwer B. Verma | Pediatrics | 21 Corporate Dr, Suite #4, Easton, PA 18045-2664 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1114318870 | Shanthi Narla | Student in an Organized Health Care Education/Training Program | St. Luke's Hospital-anderson Campus, Dermatology, Easton, PA 18045 | 2015-02-16 |
| 1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
| 1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
| Find all providers in zip 18045 | ||||
| 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 |
|---|---|---|---|---|
| 1437770971 | Bradley James Orr | Family Medicine | Medical Education Office, 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-05-06 |
| 1669009551 | St. Luke's Physician Group Inc | Family Medicine | 3729 Nazareth Rd Ste 204, Easton, PA 18045-8344 | 2020-03-23 |
| 1710514617 | St. Luke's Physician Group Inc | Family Medicine | 1800 Sullivan Trl Ste 201, Easton, PA 18040-8493 | 2020-03-23 |
| 1619504503 | St. Luke's Physician Group Inc | Family Medicine | 2925 William Penn Hwy Ste 201, Easton, PA 18045-5283 | 2020-03-23 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1477033983 | St. Luke's Physician Group Inc | Family Medicine | 2003 Sullivan Trl Ste 5, Easton, PA 18040 | 2018-08-15 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1932510278 | Okju Patrylo | Family Medicine | 2401 Northampton St Ste 130, Easton, PA 18045-2764 | 2014-05-08 |
| Find all providers in EASTON | ||||
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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.