ST. LUKE'S PHYSICIAN GROUP INC. (NPI# 1588043376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588043376 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC. |
| Other Organization Name | ASC AT ST. LUKE'S HOSPITAL |
| Practice Address |
100 N 3rd St 2nd Floor Easton PA 18042-1869 |
| Practice Telephone | 4845038010 |
| Practice Fax Number | 4845038009 |
| Mailing Telephone | 4845038010 |
| Mailing Fax Number | 4845038009 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | DEAN W. EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845264991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ASC at St. Luke's Hospital | 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 |
| 1174013395 | St. Luke's Physician Group Inc. | Pediatrics | 450 Chew St, Allentown, PA 18102-3434 | 2018-05-14 |
| 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 |
| Street Address |
100 N 3RD ST 2ND FLOOR |
| City | EASTON |
| State | PA |
| Zip Code | 18042-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710945654 | Ralph Haime Civjan | Dentist | 100 N 3rd St, 2nd Floor, Easton, PA 18042-1869 | 2006-05-02 |
| 1033580915 | Nichole Padron | Nurse Practitioner | 100 N 3rd St, 2nd Floor, Easton, PA 18042-1869 | 2015-10-16 |
| 1700278157 | St. Luke's Hospital | Family Medicine | 100 N 3rd St, 2nd Floor, Easton, PA 18042-1869 | 2015-02-23 |
| 1760889927 | Maxwell Lyle Associates L.L.C. | In Home Supportive Care | 100 N 3rd St, Suite 402, Easton, PA 18042-1869 | 2014-12-03 |
| 1255645735 | Senior Home Care Alliance | Respite Care | 100 N 3rd St, Suite 504, Easton, PA 18042-1869 | 2010-07-27 |
| 1093988115 | Maxwell Lyle Associates LLC | Home Health | 100 N 3rd St, Suite 402, Easton, PA 18042-1869 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730443698 | Roger Madison Echols | Internal Medicine | 753 Westport Rd, Easton, CT 06612-1535 | 2012-06-26 |
| 1366418444 | Wesley P Kozinn | Internal Medicine | 2061 Fairview Ave, Easton, PA 18042-3953 | 2006-02-27 |
| 1720198443 | Infectious Disease Associates of The Lehigh Valley PC | Internal Medicine | 3735 Easton Nazareth Hwy, Suite 201, Easton, PA 18045-8338 | 2006-08-30 |
| 1689612509 | Rosa I Mateo | Internal Medicine | 219 S Washington St, Easton, MD 21601-2913 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730324 | M. Pia De Girolamo | Internal Medicine | 624 Woodbrook Dr, Ambler, PA 19002-1828 | 2019-10-05 |
| 1922659051 | Norberto Soto | Internal Medicine | 6 Shakespeare Ct, Ivyland, PA 18974-2338 | 2019-09-20 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1033576384 | Roger J. Pomerantz | Internal Medicine | 711 Harvest Hill Dr, Chalfont, PA 18914-1526 | 2016-01-18 |
| 1013381011 | Paul Axelsen | Internal Medicine | 928 Ivycroft Rd, Wayne, PA 19087-2014 | 2015-11-15 |
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1609273119 | Margaret Trexler Hessen | Internal Medicine | 3940 Darby Rd, Bryn Mawr, PA 19010-2014 | 2014-11-26 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1114346186 | Cassandra Oehler | Internal Medicine | 1307 Federal St Ste B110, Pittsburgh, PA 15212-4773 | 2014-04-07 |
| 1477970309 | Peter Volpe | Internal Medicine | 3601 Fifth Ave Suite 5b, Pittburgh, PA 15213-1716 | 2014-03-28 |
| 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.