ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1386076339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386076339 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Other Organization Name | ST. LUKE'S COOPERSBURG PEDIATRICS |
| Practice Address |
5445 Lanark Rd Ste 103 Center Valley PA 18034-8694 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845267337 |
| Mailing Telephone | 4845264000 |
| Mailing Fax Number | 8338201010 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | JOSEPH MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845264000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Coopersburg Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7001 N Route 309, Coopersburg, PA 180361109 | 4845267337 | 4845267338 |
| 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 |
5445 LANARK RD STE 103 |
| City | CENTER VALLEY |
| State | PA |
| Zip Code | 18034-8694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043712847 | Pinnacle Medical Plus, LLC | Case Management | 3447 Corporate Parkway, Suite 100, Center Valley, PA 18034 | 2018-03-07 |
| 1801336466 | Sabrina Meftali | Internal Medicine | St. Luke's Center for Diabetes and Endocrinology, 5445 Lanark Road Suite 300, Center Valley, PA 18034 | 2017-03-01 |
| 1649665043 | Rocky Mountain Holdings, LLC | Ambulance | 3950 Oakhurst Dr, Center Valley, PA 18034 | 2015-04-02 |
| 1760684575 | Denise Underkoffler | Speech-Language Pathologist | 2943 Kristin Ct., Center Valley, PA 18034 | 2007-06-04 |
| 1053538991 | Emily Kraus | Pediatrics | 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 | 2007-04-20 |
| 1508806977 | Roopal G Rammohan | Optometrist | 3701 Corporate Pkwy, Ste 130b, Center Valley, PA 18034 | 2006-06-07 |
| 1407322795 | Mona Lisa Gonzalez | Nurse Practitioner | 5445 Lanark Road, Suite 200, Center Valley, PA 18034 | 2018-10-15 |
| 1760960140 | St Luke's Hospital | Emergency Medicine | 5445 Lanark Road, Center Valley, PA 18034 | 2018-07-30 |
| 1568811750 | Katie Kindt | Pediatrics | 3800 Sierra Cir Ste 100, Center Valley, PA 18034 | 2016-06-08 |
| 1548672777 | Laura Huang | Dermatology | 5445 Lanark Rd Ste 300, Center Valley, PA 18034 | 2014-05-22 |
| Find all providers in zip 18034 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1104270826 | Kelli Nicole Harajda | Pediatrics | 3800 Sierra Cir Ste 100, Center Valley, PA 18034-8476 | 2016-04-19 |
| 1053538991 | Emily Kraus | Pediatrics | 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 | 2007-04-20 |
| 1881684975 | Sanjeev Vasishtha | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2005-10-28 |
| 1568811750 | Katie Kindt | Pediatrics | 3800 Sierra Cir Ste 100, Center Valley, PA 18034 | 2016-06-08 |
| 1588907703 | Katherine Still | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2013-04-05 |
| 1043591308 | Shujayat Ali | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2011-08-31 |
| 1831364363 | Mahim Shah | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2008-04-25 |
| 1740383538 | Amy A Jibilian | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2006-09-07 |
| 1396754545 | Angela Marie Camasto | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2006-08-05 |
| 1992719678 | Chevaughn V Daniel | Pediatrics | 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 | 2006-07-28 |
| Find all providers in CENTER VALLEY | ||||
| City | CENTER VALLEY |
| Zip Code | 18034 |
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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.