ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1124034517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124034517 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Other Organization Name | ST. LUKE'S CENTER FOR PELVIC HEALTH |
| Practice Address |
701 Ostrum St Suite 102 Fountain Hill PA 18015-1155 |
| Practice Telephone | 6109544960 |
| Practice Fax Number | 6109543162 |
| Mailing Telephone | 6109544960 |
| Mailing Fax Number | 6109543162 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | DEAN W EVANS (PRESIDENT) |
| Authorized Official Telephone | 6109543383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007307530190 | 05 |
| Other Name | Type Code |
|---|---|
| St. Luke's Center for Pelvic Health | 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 |
701 OSTRUM ST SUITE 102 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1155 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427158849 | Joseph C.l. Merola | Obstetrics & Gynecology | 701 Ostrum St, Suite 203, Fountain Hill, PA 18015-1155 | 2006-09-25 |
| 1245330661 | Joseph M. Skutches | Obstetrics & Gynecology | 701 Ostrum St, Suite 203, Fountain Hill, PA 18015-1155 | 2006-09-25 |
| 1457451619 | Valerie J. Riley | Obstetrics & Gynecology | 701 Ostrum St, Suite 102, Fountain Hill, PA 18015-1155 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362453 | Highlands Hospital and Health Center | Obstetrics & Gynecology | 700 Park St Ste 6, Connellsville, PA 15425-2744 | 2020-09-24 |
| 1861050577 | Natural Women's Health | Obstetrics & Gynecology | 1650 Huntingdon Pike Ste 112, Meadowbrook, PA 19046-8005 | 2019-05-29 |
| 1205491149 | Trexler Park Gynecology | Obstetrics & Gynecology | 3131 College Heights Blvd Ste 2200b, Allentown, PA 18104-4812 | 2019-05-07 |
| 1013486448 | Katharine Theresa Ressler | Obstetrics & Gynecology | 580 S Aiken Ave Ste 500, Pittsburgh, PA 15232-1534 | 2018-11-14 |
| 1881184760 | Planned Parenthood Keystone | Obstetrics & Gynecology | 5920 Hamilton Blvd Ste 201, Allentown, PA 18106 | 2018-05-16 |
| 1881052561 | Surgeons On Demand, LLC | Obstetrics & Gynecology | 130 Log and Twig Rd, Dingmans Ferry, PA 18328-9110 | 2016-02-09 |
| 1316340052 | William Steinbrink | Obstetrics & Gynecology | 4235 Stone Creek Dr, Erie, PA 16506-7009 | 2014-10-08 |
| 1326473463 | James Lee Houston | Obstetrics & Gynecology | 425 Glenview Dr, Lower Burrell, PA 15068-3020 | 2013-09-09 |
| 1295178820 | Charles E Kovar | Obstetrics & Gynecology | 4861 Sydney Close, Macungie, PA 18062-9516 | 2013-04-13 |
| 1538401260 | Toya Gordon | Obstetrics & Gynecology | 301 S 7th Ave Ste 1020, West Reading, PA 19611-1473 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
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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.