ST LUKE'S PHYSICIAN GROUP, INC (NPI# 1629610936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629610936 |
Entity Type | Organization |
Organization Name | ST LUKE'S PHYSICIAN GROUP, INC |
Other Organization Name | ST. LUKE'S DERMATOPATHOLOGY |
Practice Address |
801 Ostrum St Bethlehem PA 18015-1000 |
Practice Telephone | 4845267764 |
Practice Fax Number | 4845266791 |
Mailing Telephone | 4845262538 |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-15 |
Authorized Official Name | ELISHA AMEY (ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 4845262538 |
Authorized Official Credential | ENROLLMENT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Luke's Dermatopathology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902406762 | St Luke's Physician Group, Inc | Internal Medicine | 21 Corporate Dr Ste 3, Easton, PA 18045-2664 | 2020-10-29 |
1659905347 | St Luke's Physician Group, Inc | Family Medicine | 134 W Ridge St, Lansford, PA 18232-1310 | 2020-03-03 |
1023592086 | St Luke's Physician Group, Inc | Surgery | 255 Delaware Ave, Palmerton, PA 18071-1812 | 2018-09-17 |
Street Address |
801 OSTRUM ST |
City | BETHLEHEM |
State | PA |
Zip Code | 18015-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
1356942635 | Christopher Vila | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-11-04 |
1114527801 | Alexandria Lynn Strouse | Registered Nurse | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-30 |
1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1750989745 | Amber Nicole Saylor | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-13 |
1427656586 | Sarah Anne Blum | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
1972101061 | Stephen Druckenmiller | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
1780281014 | Ryan Anthony Mathiesen | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-09 |
1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
Find all providers in zip 18015 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164684767 | Susan D Gisser | Dermatology | 515 Redleaf Rd, Wynnewood, PA 19096-1625 | 2008-06-26 |
1205851888 | John T Seykora | Dermatology | 421 Curie Blvd, 1011 Brb, Philadelphia, PA 19104-4863 | 2006-07-13 |
1790722981 | Debra Jih | Dermatology | 822 Pine St Ste 2a, Philadelphia, PA 19107-6187 | 2006-05-31 |
1013965011 | Marisa Frances Baldassano | Dermatology | 828 Creekview Dr, Blue Bell, PA 19422-2729 | 2006-05-04 |
1174585418 | Ethel Marsha Ziselman | Dermatology | 2 Castlebar Ln, Malvern, PA 19355 | 2006-04-03 |
1336141373 | Thomas D Griffin | Dermatology | 3805 W Chester Pike, Newtown Square, PA 19073-2329 | 2005-08-10 |
1265431043 | Stacey E. Englander-turner | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2005-07-14 |
1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
1154329035 | Nancy S House | Dermatology | 419 Walnut St, Sewickley, PA 15143-1535 | 2005-07-13 |
1922570498 | Methodist Associates In Healthcare, Inc. | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2018-12-21 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ST LUKE'S PHYSICIAN GROUP, INC.
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.