ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1386294924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386294924 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Practice Address |
2571 Baglyos Cir Ste B29 Bethlehem PA 18020-8050 |
| Mailing Address |
801 Ostrum Street Central Verification Office Bethlehem PA 18015-1000 |
| Practice Telephone | 4845264000 |
| Mailing Telephone | 4845264999 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | SUE CHIAVAROLI (ENROLLMENT SUPERVISOR) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Pediatric Pulmonology | 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 |
2571 BAGLYOS CIR STE B29 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023560059 | Brianna Taylor | Physician Assistant | 2571 Baglyos Cir Ste B29, Bethlehem, PA 18020-8050 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386082014 | Lauren Irene Greenawald | Pediatrics | 1210 S Cedar Crest Blvd Ste 2700, Allentown, PA 18103 | 2013-06-04 |
| 1831736180 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2019-12-05 |
| 1295379295 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
| 1881238251 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1225560832 | Jon Maniaci | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2017-04-02 |
| 1619339199 | Lance Matthew Feld | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2016-03-24 |
| 1437511128 | Stephen David Franklin | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2016-03-22 |
| 1851788376 | Brandy Johnson | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2015-04-22 |
| 1831583483 | Ambika Gnanam Chidambaram | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Pulmonology, Philadelphia, PA 19104 | 2015-03-21 |
| 1083032601 | Courtney Quinlan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-04-01 |
| 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.