ST. LUKE'S PHYSICIAN GROUP, INC (NPI# 1538461850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538461850 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC |
| Practice Address |
2428 Walbert Ave Allentown PA 18104-1350 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6104373934 |
| Practice Fax Number | 8338167520 |
| Mailing Telephone | 6104373934 |
| Mailing Fax Number | 8338167520 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | DEAN W. EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845264911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians |
| 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 |
2428 WALBERT AVE |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376590661 | Gregory Todd | Family Medicine | 2428 Walbert Ave, Allentown, PA 18104-1350 | 2006-05-30 |
| 1457607087 | Nicholas E Tatalias | Family Medicine | 2428 Walbert Ave, Allentown, PA 18104-1350 | 2012-08-01 |
| 1073530028 | Frank P. Matrone D.o. | Family Medicine | 2428 Walbert Ave, Allentown, PA 18104-1350 | 2006-07-16 |
| 1902843691 | Drs. Leo W.todd, Jr. & Gregory S. Todd | Family Medicine | 2428 Walbert Ave, Allentown, PA 18104-1350 | 2006-06-01 |
| 1922045707 | Frank Matrone | Family Medicine | 2428 Walbert Ave, Allentown, PA 18104-1350 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525247 | Lehigh Valley Physician Group | Family Medicine | 1275 S Cedar Crest Blvd Ste 5, Allentown, PA 18103-6207 | 2020-07-13 |
| 1770141277 | Nancy Anastasia Bobrysh | Family Medicine | 1247 S Cedar Crest Blvd Ste 200, Allentown, PA 18103-6347 | 2019-05-31 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1538697206 | Natalia Lapko | Family Medicine | 450 Chew St Ste 101, Allentown, PA 18102-3434 | 2017-05-25 |
| 1629516547 | Willy Gonzalez | Family Medicine | 1730 Chew Street, Allentown, PA 18104-5595 | 2017-02-11 |
| 1396192787 | Mahim Shuja | Family Medicine | 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 | 2016-05-16 |
| 1710347638 | Fairmont Medical Center, LLC | Family Medicine | 1720 W Fairmont St, Allentown, PA 18104-3118 | 2016-03-04 |
| 1073997961 | Kristen Kingry | Family Medicine | 1251 S Cedar Crest Blvd Ste 102a, Allentown, PA 18103-6205 | 2015-07-10 |
| Find all providers in ALLENTOWN | ||||
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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.