ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1790793149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790793149 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Practice Address |
1600 St Lukes Blvd Easton PA 18045-5671 |
| Practice Telephone | 4845034500 |
| Practice Fax Number | 4845034501 |
| Mailing Telephone | 4845034500 |
| Mailing Fax Number | 4845034501 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-01-25 |
| 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 |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007307530011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1144834649 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 257 Brodhead Rd, Bethlehem, PA 18017-8938 | 2020-09-02 |
| 1689288110 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1021 Calypso Ave, Bethlehem, PA 18018-5005 | 2020-09-02 |
| 1962016477 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1621 Catasauqua Rd, Bethlehem, PA 18017-7407 | 2020-09-02 |
| Street Address |
1600 ST LUKES BLVD |
| City | EASTON |
| State | PA |
| Zip Code | 18045-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486882 | Darius C. Desai | Surgery | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2006-07-27 |
| 1962014621 | Serena Ngan | Physician Assistant | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2020-08-23 |
| 1255975488 | Charity Joy Eck | Nurse Practitioner | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2019-10-31 |
| 1093266611 | Natalie Zack | Nurse Practitioner | 1600 St Lukes Blvd, Easton, PA 18045 | 2016-10-19 |
| 1477003945 | Andrea Selkregg | Nurse Practitioner | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2016-10-10 |
| 1699150441 | Jennifer Henry | Nurse Practitioner | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2015-07-22 |
| 1588906457 | Gary Lu | Internal Medicine | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2013-03-19 |
| 1942580022 | Amanda Louise Fulmore | Physician Assistant | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2011-08-22 |
| 1104117910 | Jacquelyn Sara Carr | Surgery | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2011-04-27 |
| 1659482123 | Beth Ann Schoch | Physician Assistant | 1600 St Lukes Blvd, Easton, PA 18045 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1114318870 | Shanthi Narla | Student in an Organized Health Care Education/Training Program | St. Luke's Hospital-anderson Campus, Dermatology, Easton, PA 18045 | 2015-02-16 |
| 1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
| 1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
| Find all providers in zip 18045 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013295070 | Ailawadi Surgical Associates PC | Surgery | 190 S Greenwood Ave, Easton, PA 18045-2548 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551009 | Amanda Mauck | Surgery | 3 Saint Francis Way Ste 103, Cranberry Township, PA 16066-5120 | 2018-06-11 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1124400536 | Ashlie Lauren Nadler | Surgery | 3509 N. Broad St. Temple University Hospital, Graduate Medical Education, Philadelphia, PA 19140 | 2015-06-22 |
| 1609216886 | Gordon Francis Schwartz Md PC | Surgery | 237 S 18th St, # 21-d, Philadelphia, PA 19103-6161 | 2013-07-02 |
| 1104185610 | Antoine Jahshan | Surgery | 72 Cornell Rd, Bala Cynwyd, PA 19004-2101 | 2012-05-04 |
| 1851525869 | Elena Paulus Lamb | Surgery | 830 Old Lancaster Rd Ste 306, Bryn Mawr, PA 19010 | 2009-05-05 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1194883785 | Andrew Watson | Surgery | 5150 Centre Avenue, Pittsburgh, PA 15232 | 2006-12-05 |
| 1114981123 | Aria Health Physician Services | Surgery | 240 Middletown Blvd Ste 101d, Langhorne, PA 19047-1832 | 2006-04-14 |
| 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.