Stanley O Ikezi (NPI# 1023245883, PAC ID# 4789800566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1023245883 |
| PAC ID by PECOS | 4789800566 |
| Professional Enrollment ID | I20140731001069 |
| Full Name | Stanley O Ikezi |
| Organization Legal Name | ST LUKES PHYSICIAN GROUP INC |
| Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2009 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 6709798333 |
| Number of Group Practice Members | 1228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 390330 | ST LUKE'S HOSPITAL - MONROE CAMPUS |
| 390183 | ST LUKE'S MINERS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 Ostrum St, Bethlehem, PA 18015-1000 | ST LUKES PHYSICIAN GROUP INC | |
| 3 Parkinsons Rd, East Stroudsburg, PA 18301-8087 | ST LUKES PHYSICIAN GROUP INC | |
| 1872 St Lukes Blvd, Easton, PA 18045-5669 | ST LUKES PHYSICIAN GROUP INC |
| Organization Legal Name | ST LUKES PHYSICIAN GROUP INC |
| Physicians | 1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin A Ramella | Nurse Practitioner | St Lukes Physician Group Inc | 1872 St Lukes Blvd, Easton, PA 18045-5669 |
| Farhaan Hafeez | Dermatology | St Lukes Physician Group Inc | 2200 St Lukes Blvd, 230 St Lukes Dermatology Associates, Easton, PA 18045-5665 |
| Emer Lucy Colalillo | Obstetrics/gynecology | St Lukes Physician Group Inc | 834 Eaton Avenue 1st Floor, St Luke's Obstetrics and Gynecology Associates, Bethlehem, PA 18018-1832 |
| Erin Hetu | Nurse Practitioner | St Lukes Physician Group Inc | 1581 N 9th St, Stroudsburg, PA 18360-7576 |
| Stephanie L Lum | Obstetrics/gynecology | St Lukes Physician Group Inc | 2200 St Luke's Blvd, Suite 200, Easton, PA 18045-0000 |
| Elspeth Gwendolen Black | Family Medicine | St Lukes Physician Group Inc | 4059 Jandy Blvd, Suite 103, Nazareth, PA 18064-8893 |
| Hamad Saleemi | Physical Medicine and Rehabilitation | St Lukes Physician Group Inc | 1700 St Lukes Bld, Suite 200, Easton, PA 18045 |
| Margaret Anne Mintus | Family Medicine | St Lukes Physician Group Inc | Rodenbach Ln, Brodheadsville, PA 18322 |
| Sarah Beth Himmelstein | General Surgery | St Lukes Physician Group Inc | 451 W Chew St, 304 St. Luke's General Surgery Sacred Heart, Allentown, PA 18102-3423 |
| Keith J King | General Surgery | St Lukes Physician Group Inc | 240 Cetronia Rd 205, St Luke's Weight Management Center, Allentown, PA 18104-9263 |
| Street Address |
801 OSTRUM ST |
| City | BETHLEHEM |
| State | PA |
| Zip | 18015-1000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Semonche | Internal Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Hasan Bayat | Hospitalist | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jessica L Fenner | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Kristen N Scholz | Nurse Practitioner | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Donald D Diverio | Orthopedic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Beth L Valderrama | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Stephen A Olenchock Jr. | Thoracic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Rebecca R Rasmuson | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jorge S Picado | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| John E Connelly | Family Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ariel A Alicea | Family Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Tiffany N Mazur | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Patrick P Cheatle | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Sumair Akhtar | Hospitalist | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Eric R Eustice | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Sarah Wildrick | Physician Assistant | St Luke's Hospital | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Brianna A Kays | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Rebecca K Jeanmonod | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Lisa M Fedullo | Interventional Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jonathan P Hosey | Neurology | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Find all physicians in zip 18015 | |||
| City | BETHLEHEM |
| Zip Code | 18015 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | BETHLEHEM + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Stanley O Ikezi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.