ST. LUKE'S PHYSICIAN GROUP INC (NPI# 1629605522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629605522 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC |
| Practice Address |
3101 Emrick Blvd Ste 112 Bethlehem PA 18020-8037 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6104196426 |
| 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 Primary Care Easton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1538796412 | St. Luke's Physician Group Inc | Family Medicine | 951 Male Rd, Wind Gap, PA 18091-1513 | 2020-03-23 |
| 1750918652 | St. Luke's Physician Group Inc | Family Medicine | 2461 Nazareth Rd, Easton, PA 18045-2743 | 2020-03-23 |
| Street Address |
3101 EMRICK BLVD STE 112 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8037 |
| 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 | 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 |
|---|---|---|---|---|
| 1376035485 | Natasha Mozumdar | Family Medicine | 3024 Easton Avenue, Bethlehem, PA 18017-4208 | 2018-06-04 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1518398163 | Charles Frederick Thompson Jr. | Family Medicine | 3807 Wilhelm Rd, Bethlehem, PA 18015-5935 | 2013-12-09 |
| 1609198944 | St. Luke's Hospital | Family Medicine | 1210 E. 4th St, Bethlehem, PA 18015 | 2010-02-26 |
| 1134455892 | Hamid Mukhtar | Family Medicine | 2649 Schoenersville Rd Ste 100, Bethlehem, PA 18017-7326 | 2009-10-30 |
| 1124236187 | Calvin Morgan Terrelonge | Family Medicine | 426 Exchange Blvd Ste 600, Bethlehem, GA 30620-1794 | 2007-05-21 |
| 1235259995 | Mary Anne A Pajel-sio Md PC | Family Medicine | 2551 Baglyos Cir, Suite A-10, Bethlehem, PA 18020-8042 | 2007-03-29 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1578645123 | Vellore Medical Associates,p.c. | Family Medicine | 3893 Adler Pl, Suite 160, Bldg B, Bethlehem, PA 18017-9072 | 2006-10-20 |
| 1750487807 | Thomas Joseph Novak | Family Medicine | 36 University Drive, Bethlehem, PA 18015 | 2006-09-16 |
| Find all providers in BETHLEHEM | ||||
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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.