St. Luke's Physician Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

St. Luke's West Allentown Primary Care

Practice address

3050 Hamilton Blvd Ste 105
Allentown, PA 18103-3691

Phone

(610) 432-2013

Fax

(833) 816-7514

NPI assigned

Mar 5, 2009

Last updated

Jun 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dean W Evans

Title

President

Phone

(484) 526-4911

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's West Allentown Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paige Yi Cadieux-Petrie, PAC

  • Physician Assistant
  • Allentown, PA
  • NPI 1225855489
  NPD
• Jennifer Horgash, CRNP

  • Community Health Nurse Practitioner
  • Bethlehem, PA
  • NPI 1023500089
  NPD
• Stephanie Michelle Rabenold, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Bethlehem, PA
  • NPI 1568802965
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1013157940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-432-2013",
            "fax_number": "833-816-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-432-2013",
            "fax_number": "833-816-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-526-4911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's West Allentown Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group Inc. (OB/GYN Associates of St. Luke's Sacred Heart)
• St. Luke's Physician Group, Inc (St Luke's Walbert Avenue Primary Care)
• St. Luke's Physician Group, Inc (St. Luke's General Surgery Sacred Heart)
• St. Luke's Physician Group, Inc (St. Luke's Pediatric Services)
• St. Luke's Physician Group, Inc. (Oakwood Medical Associates St. Luke's Sacred Heart)
• St. Luke's Physician Group, Inc. (Jeffrey M. Briglia, DO - ENT)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St Lukes Partial Hospital Program Sacred Heart)
• St. Luke's Physician Group, Inc. (Gayllyn Faust-Rakos, DO)
• St. Luke's Physician Group, Inc. (St. Luke's General Surgery Sacred Heart 19th Street)

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.