ST. LUKE'S PHYSICIAN GROUP INC. (NPI# 1174013395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174013395 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC. |
| Other Organization Name | PEDIATRIC & ADOLESCENT SERVICES ST. LUKE'S SACRED HEART |
| Practice Address |
450 Chew St Allentown PA 18102-3434 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6107764767 |
| Mailing Telephone | 4845264999 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | JOSEPH MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845266162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric & Adolescent Services St. Luke's Sacred Heart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| 1053957688 | St. Luke's Physician Group Inc. | Anesthesiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-11-19 |
| 1093270019 | St. Luke's Physician Group Inc. | Pediatrics | 7001 N Route 309, Coopersburg, PA 18036-1109 | 2019-02-04 |
| 1235602459 | St. Luke's Physician Group Inc. | Internal Medicine | 1107 Bethlehem Pike, Sellersville, PA 18960-1454 | 2019-01-10 |
| 1265905483 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 207 N Main St, Nazareth, PA 18064-1444 | 2019-01-10 |
| 1225528730 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 3420 Walbert Avenue, Suite 100, Allentown, PA 18104-1700 | 2018-05-10 |
| 1437695095 | St. Luke's Physician Group Inc. | Internal Medicine | 701 Ostrum St Ste 103, Fountain Hill, PA 18015-1152 | 2017-01-06 |
| 1770028136 | St. Luke's Physician Group Inc. | Otolaryngology | 120 Pine St, Suite B, Tamaqua, PA 18252 | 2016-12-21 |
| Street Address |
450 CHEW ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912997511 | Sultana Qurashi | Internal Medicine | 450 Chew St, Suite 101, Allentown, PA 18102-3434 | 2005-10-25 |
| 1821605403 | Allen Zelno | Nurse Practitioner | 450 Chew St, Allentown, PA 18102-3434 | 2020-09-28 |
| 1538631148 | Marissa A Durako | Physician Assistant | 450 Chew St, Allentown, PA 18102-3434 | 2018-12-20 |
| 1144713660 | Frances Knoll Folsom | Counselor | 450 Chew St, Allentown, PA 18102-3434 | 2018-06-09 |
| 1578053559 | St. Luke's Physician Group, Inc. | Family Medicine | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-15 |
| 1508372178 | Ashley Marie Lassiter | Counselor | 450 Chew St, Allentown, PA 18102 | 2017-12-19 |
| 1801309299 | Alicia J Zehner | Social Worker | 450 Chew St, Allentown, PA 18102-3434 | 2017-11-08 |
| 1437604923 | Desiree Guzman | Nurse Practitioner | 450 Chew St, Suite 101, Allentown, PA 18102-3434 | 2016-08-24 |
| 1891154860 | Manuel Puente | Family Medicine | 450 Chew St, Suite 101, Allentown, PA 18102-3434 | 2016-02-18 |
| 1215318225 | Anna Shestopalova | Family Medicine | 450 Chew St, Suite 101, Allentown, PA 18102-3434 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275585762 | Children Healthcare | Pediatrics | 15 17 Pond Road, Allentown, PA 18104 | 2006-05-16 |
| 1972573129 | Tayyaba Saeed Jan | Pediatrics | 7615 Tilghman St, Allentown, PA 18106-9345 | 2006-01-23 |
| 1922273911 | Rosa Gomez De Jesus | Pediatrics | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2008-04-29 |
| 1154473668 | Lehigh Valley Physician Group | Pediatrics | 400 N 17th St, Suite 202, Allentown, PA 18104-5052 | 2007-01-17 |
| 1154316651 | Colleen A Cooper | Pediatrics | 1611 Pond Rd, Suite 400, Allentown, PA 18104-2258 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
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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.