ST. LUKE'S PHYSICIAN GROUP, INC (NPI# 1124685425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124685425 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC |
| Practice Address |
360 W Ruddle St Coaldale PA 18218-1027 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845262200 |
| Practice Fax Number | 4845262398 |
| Mailing Telephone | 4845263571 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | TAMI GIGLIO (ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 4845263571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | 034134 | 01 |
| Other Name | Type Code |
|---|---|
| St. Luke's General Surgery Miners | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 N 12th St, Lehighton, PA 182351138 | 6103771300 | 5706451661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1912465592 | St. Luke's Physician Group, Inc | Family Medicine | 426 W Railroad St Ste 1, Nesquehoning, PA 18240-1414 | 2019-03-04 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1639554942 | St. Luke's Physician Group, Inc | Internal Medicine | 2599 State Route 903, Albrightsville, PA 18210 | 2015-07-28 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| 1750683546 | St. Luke's Physician Group, Inc | Family Medicine | 2550 Pa Route 100, Suite 220, Macungie, PA 18062-9652 | 2010-11-30 |
| 1780293241 | St. Luke's Physician Group, Inc | Internal Medicine | 161 N Main St, Dublin, PA 18917-1302 | 2020-07-30 |
| 1447801535 | St. Luke's Physician Group, Inc | Obstetrics & Gynecology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-09-20 |
| 1639738594 | St. Luke's Physician Group, Inc | Surgery | 421 Chew St, Allentown, PA 18102-3406 | 2019-06-13 |
| Street Address |
360 W RUDDLE ST |
| City | COALDALE |
| State | PA |
| Zip Code | 18218-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987219 | Coaldale Cardiology, Inc. | Internal Medicine | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2005-07-26 |
| 1922639228 | Jordan Lynn Nowacki | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2020-01-27 |
| 1467098939 | Ethan Eichhorst | Occupational Therapist | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2019-11-20 |
| 1396212767 | Devon M Bizarre | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-24 |
| 1932674215 | Tia M Rex | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-10-12 |
| 1003390840 | Sarah Lynn Matika | Dietitian, Registered | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2018-09-18 |
| 1851650600 | Matthew D Morgan | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2012-05-15 |
| 1154620045 | Jennifer Toth | Dietitian, Registered | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2011-03-18 |
| 1851698468 | St. Luke's Physician Group, Inc | Internal Medicine | 360 W Ruddle St, Suite 800, Coaldale, PA 18218-1027 | 2011-02-16 |
| 1164726733 | Carbon-schuylkill Community Hospital, Inc. | Physician Assistant | 360 W Ruddle St, Coaldale, PA 18218-1027 | 2010-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095973 | Eric Bodish | Emergency Medicine | 370 Ruddle St., Coaldale, PA 18218 | 2006-12-01 |
| 1275593485 | Dilliswar Sahoo | Internal Medicine | 48 W Phillip St, Coaldale, PA 18218 | 2006-03-23 |
| 1366875759 | James Hanson | Specialist | 18 E Foster Ave, Coaldale, PA 18218-1007 | 2013-08-21 |
| 1306953443 | Elizabeth Marie Perilli | Family Medicine | 48 W. Phillip St, Coaldale, PA 18218-1123 | 2006-08-24 |
| 1740371939 | Coaldale Community Ambulance Association | Ambulance | 300 W Water St, Coaldale, PA 18218-1153 | 2006-09-27 |
| 1790024495 | Jennifer M. Smell | Physical Therapy Assistant | 137 1st St, Coaldale, PA 18218-1304 | 2013-01-31 |
| 1730523291 | Larry Dean Weaver Jr. | Physical Therapy Assistant | 258 5th St, Coaldale, PA 18218-1412 | 2013-04-26 |
| 1851321897 | Dilliswar Sahoo Md PC | Internal Medicine | 48 W Phillips St, Coaldale, PA 18218-1437 | 2006-07-04 |
| 1245766682 | Rachel Seitzinger | Nurse Practitioner | 48 W Phillips St, Coaldale, PA 18218-1437 | 2017-05-04 |
| 1225319098 | St. Luke's Physician Group, Inc. | Family Medicine | 48 W Phillips St, Coaldale, PA 18218-1437 | 2011-09-07 |
| Find all providers in zip 18218 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.