ST. LUKE'S PHYSICIAN GROUP, INC. (NPI# 1932696135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932696135 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP, INC. |
| Other Organization Name | HAVEN HOUSE PRIMARY CARE ST. LUKE'S SACRED HEART |
| Practice Address |
1411 Union Blvd Allentown PA 18109 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6103516189 |
| Practice Fax Number | 6103519402 |
| Mailing Telephone | 4845266048 |
| Mailing Fax Number | 8332136428 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | JOSEPH W MINAHAN (PRESIDENT) |
| Authorized Official Telephone | 4845266162 |
| 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 |
|---|---|
| Haven House Primary Care St. Luke's Sacred Heart | Doing Business As Name - Organization |
| 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 |
1411 UNION BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670507 | Haven House | Clinic/Center | 1411 Union Blvd, Allentown, PA 18109 | 2005-06-24 |
| 1558961144 | Katie Barrick | Social Worker | 1411 Union Blvd, Allentown, PA 18109-1505 | 2020-11-01 |
| 1427665116 | Kc Carpenter | Social Worker | 1411 Union Blvd, Allentown, PA 18109-2423 | 2020-09-26 |
| 1528684487 | Natalie Miller | Counselor | 1411 Union Blvd, Allentown, PA 18109-2423 | 2020-06-17 |
| 1063072577 | Jill Busolits | Social Worker | 1411 Union Blvd, Allentown, PA 18109-1505 | 2019-06-17 |
| 1326519380 | Jessica Pollas | Social Worker | 1411 Union Blvd, Allentown, PA 18109-2423 | 2018-12-16 |
| 1811479785 | Beth Adamo | Social Worker | 1411 Union Blvd, Allentown, PA 18109-1505 | 2018-09-06 |
| 1699268557 | Sarah Kelly | Social Worker | 1411 Union Blvd, Allentown, PA 18109-2423 | 2018-06-14 |
| 1508375312 | Emily Gokey | Social Worker | 1411 Union Blvd, Allentown, PA 18109-1505 | 2017-09-25 |
| 1538612163 | Elizabeth Hayman | Social Worker | 1411 Union Blvd, Allentown, PA 18109-1505 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422759 | Dinamarca Cedeno | Counselor | 406 Hanover Av, Allentown, PA 18109 | 2018-10-12 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1730622010 | Dana Joyce Morgan-buck | Assistant Behavior Analyst | 881 Macron Blvd, Suite 3900, Allentown, PA 18109 | 2016-11-18 |
| 1043562226 | Linda Lucille Getz-phillips | Social Worker | 1530 Hanover Ave, Allentown, PA 18109 | 2012-10-11 |
| 1033442280 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 964 Marcon Blvd., Suite 110, Allentown, PA 18109 | 2009-09-04 |
| 1881888394 | Lisa Anne Churinskas-hulit | Social Worker | 1530 Hanover Avenue, Allentown, PA 18109 | 2007-08-29 |
| 1700925104 | Jeffrey Daryl Kindler | Psychologist | 801 E Green St, Kids Peace Bhrs, Allantown, PA 18109 | 2007-02-05 |
| 1912059585 | Kimberly Lynn Bonner | Social Worker | 961 Marcon Blvd, Suite 312, Allentown, PA 18109 | 2007-01-17 |
| 1013066224 | Joseph Barchini | Chiropractor | 771 Hanover Avenue, Allentown, PA 18109 | 2007-01-09 |
| 1700949161 | Glenn R Koch and Associates Inc | Psychiatry & Neurology | 961 Marcon Boulevard, Suite 312, Allentown, PA 18109 | 2006-12-18 |
| Find all providers in zip 18109 | ||||
| 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 |
|---|---|---|---|---|
| 1912525247 | Lehigh Valley Physician Group | Family Medicine | 1275 S Cedar Crest Blvd Ste 5, Allentown, PA 18103-6207 | 2020-07-13 |
| 1770141277 | Nancy Anastasia Bobrysh | Family Medicine | 1247 S Cedar Crest Blvd Ste 200, Allentown, PA 18103-6347 | 2019-05-31 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1538697206 | Natalia Lapko | Family Medicine | 450 Chew St Ste 101, Allentown, PA 18102-3434 | 2017-05-25 |
| 1629516547 | Willy Gonzalez | Family Medicine | 1730 Chew Street, Allentown, PA 18104-5595 | 2017-02-11 |
| 1396192787 | Mahim Shuja | Family Medicine | 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 | 2016-05-16 |
| 1710347638 | Fairmont Medical Center, LLC | Family Medicine | 1720 W Fairmont St, Allentown, PA 18104-3118 | 2016-03-04 |
| 1073997961 | Kristen Kingry | Family Medicine | 1251 S Cedar Crest Blvd Ste 102a, Allentown, PA 18103-6205 | 2015-07-10 |
| Find all providers in ALLENTOWN | ||||
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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.