Active NPI
St. Luke'S Physician Group, Inc.
- Otolaryngology/Facial Plastic Surgery Physician
- Allentown, PA
National Provider Identifier
1023061587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC.
- Practice address
- 3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812 - Phone
- (610) 432-1983
- Fax
- (610) 432-3747
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- (610) 954-3383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary |
Addresses
Primary practice location
3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-3383
Other names 1
- Jeffrey M. Briglia, DO - ENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000062 | PA | Part B Supplier - Clinic/Group Practice | 6709798333 |
Receives reassigned benefits from 3,523 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Upper Bucks Emergency M
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bethlehem, PA
- NPI 1033158910
-
- Pediatrics Physician
- Sellersville, PA
- NPI 1043164833
-
- Family Medicine Physician
- Easton, PA
- NPI 1063784254
-
- Neurological Surgery Physician
- Fountain Hill, PA
- NPI 1073532016
-
- Family Medicine Physician
- Allentown, PA
- NPI 1083025290
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1083092019
-
- Obstetrics & Gynecology Physician
- Easton, PA
- NPI 1043695752
-
- Internal Medicine Physician
- Bethlehem, PA
- NPI 1063734416
-
- Neurology with Special Qualifications in Child Neurology Physician
- Bethlehem, PA
- NPI 1013495332
-
- Family Medicine Physician
- Easton, PA
- NPI 1013570613
-
- Internal Medicine Physician
- Whitehall, PA
- NPI 1023505294
-
- Clinic/Center
- Allentown, PA
- NPI 1043809635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271289600000",
"number": "1023061587",
"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": "610-954-3383",
"fax_number": "610-954-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "SUITE 2200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044812",
"telephone_number": "610-432-1983",
"fax_number": "610-432-3747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2010-04-15",
"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": "610-954-3383"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jeffrey M. Briglia, DO - ENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allentown, PA
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.