ST. LUKE'S PHYSICIAN GROUP INC (NPI# 1962911180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962911180 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN GROUP INC |
| Other Organization Name | ST. LUKE'S HAMBURG PRIMARY CARE |
| Practice Address |
9 Daves Way Hamburg PA 19526-1463 |
| Mailing Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 6106287206 |
| Practice Fax Number | 6106287216 |
| Mailing Telephone | 6106287206 |
| Mailing Fax Number | 6106287216 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | DEAN W EVANS (PRESIDENT) |
| Authorized Official Telephone | 4845264911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Hamburg Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605522 | St. Luke's Physician Group Inc | Family Medicine | 3101 Emrick Blvd Ste 112, Bethlehem, PA 18020-8037 | 2020-03-23 |
| 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 |
| Street Address |
9 DAVES WAY |
| City | HAMBURG |
| State | PA |
| Zip Code | 19526-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932215530 | Robert Gregory Stratton Jr. | Emergency Medicine | 9 Daves Way, Hamburg, PA 19526 | 2006-08-23 |
| 1851921944 | Kellianna Bradstreet | Physician Assistant | 9 Daves Way, Hamburg, PA 19526-1413 | 2020-01-17 |
| 1669015996 | Kristina Parise | Physician Assistant | 9 Daves Way, Hamburg, PA 19526-1413 | 2019-10-18 |
| 1326571357 | St. Luke's Hospital | Emergency Medicine | 9 Daves Way, Hamburg, PA 19526 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458193 | Nicole Wisser | Counselor | 176 Hepner Road, Hamburg, PA 19526 | 2015-09-29 |
| 1457561169 | Sean Ryan Mcmenamin | Physical Therapist | Hamburg Center Old Rr 22, Hamburg, PA 19526 | 2007-05-23 |
| 1568675023 | Ricky M Massullo | Dentist | 132 S 4th St, Hamburg, PA 19526 | 2007-05-08 |
| 1275746067 | Tracy Anne Smith | Registered Nurse | 136 Southeast Drive, Hamburg, PA 19526 | 2007-05-08 |
| 1124149331 | Jean Lorraine Weller | Registered Nurse | Old Rt 22, Hamburg Center, Hamburg, PA 19526 | 2007-04-03 |
| 1013087832 | Peaceful Hearts Counseling Services Inc | Counselor | 548 Monument Road, Hamburg, PA 19526 | 2006-11-09 |
| 1467535104 | Theodore E Dando | Dentist | 303 State Street, Hamburg, PA 19526 | 2006-10-24 |
| 1962461244 | Christine Elizabeth Deaner | Physical Therapist | 700 Hawk Ridge Dr 1, Hamburg, PA 19526 | 2006-03-23 |
| 1760469472 | Genesis Eldercare Rehabilitation Services LLC | Physical Therapist | 125 Holly Road, Laurel Center, Hamburg, PA 19526 | 2005-12-23 |
| 1437132651 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 3560 Old Rte 22, Hamburg, PA 19526 | 2005-11-22 |
| Find all providers in zip 19526 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1629228648 | Hamburg Medical Associates, P.C. | Internal Medicine | 17 State Rt 23 N, Hamburg, NJ 07419-1419 | 2008-09-26 |
| 1962666107 | Leia K Ince-mercer | Internal Medicine | 5470 Camp Rd Ste 200, Hamburg, NY 14075-2756 | 2008-07-16 |
| 1871636340 | Marie M Warburg | Internal Medicine | Koesterberg Str., 56a, Hamburg, DE 22587 | 2007-02-15 |
| 1821151580 | Andrew Ty Ang | Internal Medicine | 18 E Union St, Hamburg, NY 14075-5007 | 2006-12-17 |
| 1417017187 | Nancy Carbajo | Internal Medicine | 10020 Professional Center Dr., Suite 120, Hamburg, MI 48139-0799 | 2006-12-11 |
| 1902965601 | James B Hayner | Internal Medicine | 7305 East M-36, Hamburg, MI 48139-0799 | 2006-12-08 |
| 1164511036 | Rodney L Dewyer | Internal Medicine | 10020 Professional Centre Dr., Suite 120, Hamburg, MI 48139 | 2006-10-11 |
| 1124112677 | Community Hospital Inc | Internal Medicine | 2959 Us Highway 275, Hamburg, IA 51640-5052 | 2006-10-02 |
| 1619917929 | Dennis P Fielding | Internal Medicine | 17 Route 23 N, Hamburg, NJ 07419-1419 | 2006-06-07 |
| 1699744714 | Abul Kassim Mohamed-ali | Internal Medicine | Old Route 22, Hamburg Center, Hamburg, PA 19526-0400 | 2006-03-14 |
| Find all providers in HAMBURG | ||||
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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.