ST. LUKE'S PHYSICIAN GROUP INC (NPI# 1538796412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538796412 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC |
| Practice Address |
951 Male Rd Wind Gap PA 18091-1513 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6106541000 |
| Mailing Telephone | 4845264000 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | SUE CHIAVAROLI (CVO SUPERVISOR) |
| Authorized Official Telephone | 4845263569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Family Practice Blue Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605522 | St. Luke's Physician Group Inc | Family Medicine | 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020-8037 | 2020-03-23 |
| 1669009551 | St. Luke's Physician Group Inc | Family Medicine | 3729 Nazareth Rd Ste 204, Easton, PA 18045-8344 | 2020-03-23 |
| 1710514617 | St. Luke's Physician Group Inc | Family Medicine | 1800 Sullivan Trl Ste 201, Easton, PA 18040-8493 | 2020-03-23 |
| 1326675216 | St. Luke's Physician Group Inc | Internal Medicine | 2111 Washington Blvd Fl 1, Easton, PA 18042-3803 | 2020-03-23 |
| 1619504503 | St. Luke's Physician Group Inc | Family Medicine | 2925 William Penn Hwy Ste 201, Easton, PA 18045-5283 | 2020-03-23 |
| 1477033983 | St. Luke's Physician Group Inc | Family Medicine | 2003 Sullivan Trl Ste 5, Easton, PA 18040 | 2018-08-15 |
| 1326492257 | St. Luke's Physician Group Inc | Family Medicine | 1251 Turnstone Drive, Suite 120, Fogelsville, PA 18051-1713 | 2016-04-18 |
| 1194196402 | St. Luke's Physician Group Inc | Family Medicine | 1254 Interchange Rd, Lehighton, PA 18235-9069 | 2015-10-13 |
| 1982804316 | St. Luke's Physician Group Inc | Orthopaedic Surgery | 28 S. 14th St, Quakertown, PA 18951 | 2007-07-24 |
| 1750918652 | St. Luke's Physician Group Inc | Family Medicine | 2461 Nazareth Rd, Easton, PA 18045-2743 | 2020-03-23 |
| Street Address |
951 MALE RD |
| City | WIND GAP |
| State | PA |
| Zip Code | 18091-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644001 | Joseph M Daday | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2005-10-25 |
| 1023454840 | Donna R Mason | Registered Nurse | 951 Male Rd, Wind Gap, PA 18091-1513 | 2013-05-20 |
| 1083790406 | Linda D. Eckhardt | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2006-10-27 |
| 1053327106 | Joseph E Cesanek | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2006-07-31 |
| 1639196496 | Jaime Ann Sundstrom | Nurse Practitioner | 951 Male Rd, Blue Valley Family Practice, Wind Gap, PA 18091-1513 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332473 | Life Change Health P.C. | Family Medicine | 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 | 2018-07-02 |
| 1922105428 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 855 S Broadway, Wind Gap, PA 18091 | 2006-09-19 |
| 1831265222 | Progressive Pain Solutions LLC | Physical Medicine & Rehabilitation | 382 Epps St, Wind Gap, PA 18091 | 2006-11-28 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1669520714 | James Michael Dillon | Pharmacist | 855 N Broadway, Wind Gap, PA 18091-1116 | 2007-01-08 |
| 1215382585 | Zachary Savercool | Specialist/Technologist | 275 E Center St, Wind Gap, PA 18091-1223 | 2016-04-25 |
| 1598815466 | Wind Gap Ambulance Corps Inc | Ambulance | 547 E West St, Wind Gap, PA 18091-1255 | 2007-01-11 |
| 1730135583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 525 E West St, Kidney Treatment Center of Slatebelt - Ckd Services, Wind Gap, PA 18091-1255 | 2006-05-25 |
| 1811165160 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 525 E West St, Ckd Services of Slatebelt, Wind Gap, PA 18091-1255 | 2008-02-20 |
| 1902901291 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 525 E West St, Wind Gap, PA 18091-1255 | 2006-09-13 |
| Find all providers in zip 18091 | ||||
| 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 |
|---|---|---|---|---|
| 1306332473 | Life Change Health P.C. | Family Medicine | 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 | 2018-07-02 |
| 1003143280 | Lindsay Goffredo Hughes | Family Medicine | 1411 Jacobsburg Rd, Wind Gap, PA 18091-9788 | 2009-11-10 |
| 1730204249 | Mark W. Powell, M.d. and Sheila M. Borick, M.d. | Family Medicine | 131 S Broadway, Wind Gap, PA 18091-1425 | 2007-03-21 |
| 1205951795 | Sheila Mary Borick | Family Medicine | 487 E Moorestown Rd, #101, Wind Gap, PA 18091-9662 | 2007-03-21 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1396715389 | Slate Belt Family Practice PC | Family Medicine | 826 S Broadway, Wind Gap, PA 18091-1628 | 2006-01-24 |
| 1487644001 | Joseph M Daday | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2005-10-25 |
| 1578551248 | Ellen Marie Didimamoff | Family Medicine | 497 Bushkill Plaza Ln, Wind Gap, PA 18091-9665 | 2005-10-07 |
| 1386274975 | Lvhn Coordinated Professional Practice | Family Medicine | 1411 Jacobsburg Rd, Wind Gap, PA 18091-9788 | 2020-01-22 |
| 1295079473 | Chs Professional Practice, P.C. | Family Medicine | 1411 Jacobsburg Rd, Wind Gap, PA 18091-9788 | 2012-11-12 |
| Find all providers in WIND GAP | ||||
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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.