Courtney Dostal
ST LUKES PHYSICIAN GROUP INC


Address: 709 Delaware Ave, Fountain Hill, PA 18015-1107
Phone: 6109543890

Courtney Dostal (NPI# 1063618619, PAC ID# 7416144282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).

Physician Overview

Nation Provider ID (NPI) 1063618619
PAC ID by PECOS 7416144282
Professional Enrollment ID I20101206000524
Full Name Courtney Dostal
Organization Legal Name ST LUKES PHYSICIAN GROUP INC
Address 709 Delaware Ave
Fountain Hill
PA 18015-1107
Phone Number 6109543890
Gender F
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2007
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Secondary Specialties PULMONARY DISEASE
Group Practice PAC ID 6709798333
Number of Group Practice Members 1228
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310029 OUR LADY OF LOURDES MEDICAL CENTER
310086 JEFFERSON STRATFORD HOSPITAL
310022 VIRTUA WEST JERSEY HOSPITALS

Other Locations

Address Phone Organization
709 Delaware Ave, Fountain Hill, PA 18015-1107 6109543890 ST LUKES PHYSICIAN GROUP INC
123 B Roseberry St, Phillipsburg, NJ 08865-1629 9082133433 ST LUKES WARREN PHYSICIAN GROUP PC
185 Roseberry St, Phillipsburg, NJ 08865-1690 9088596700 ST LUKES WARREN PHYSICIAN GROUP PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name ST LUKES PHYSICIAN GROUP INC
Physicians 1158

Physicians with the same organization

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

Office Location

Street Address 709 DELAWARE AVE
City FOUNTAIN HILL
State PA
Zip 18015-1107

Physicians in the same location

Name Specialty Organization Address
Christopher S Alia Pulmonary Disease St Lukes Physician Group Inc 709 Delaware Ave, Fountain Hill, PA 18015-1107
Yaniv Dotan Critical Care (intensivists) St Lukes Physician Group Inc 709 Delaware Ave, Fountain Hill, PA 18015-1107
Neal M Fitzpatrick Internal Medicine St Lukes Physician Group Inc 709 Delaware Ave, Fountain Hill, PA 18015-1107
Jacqueline A Nemeth Nurse Practitioner St Lukes Physician Group Inc 709 Delaware Ave, Fountain Hill, PA 18015-1107
Casey L Overfield Physician Assistant St Lukes Physician Group Inc 709 Delaware Ave, Fountain Hill, PA 18015-1107

Physicians in the same zip code

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 zip 18015

Competitor

Search similar physicians

City FOUNTAIN HILL
Zip Code 18015
Specialty CRITICAL CARE (INTENSIVISTS)
City + Specialty FOUNTAIN HILL + CRITICAL CARE (INTENSIVISTS)

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Dataset Information

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.

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