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

Bushkill Family Practice

Practice address

497 Bushkill Plaza LN
Wind Gap, PA 18091-9665

Phone

(610) 863-7020

Fax

(866) 833-9399

NPI assigned

May 15, 2006

Last updated

Oct 11, 2022By 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

Ms. Susan Chiavaroli

Title

Manager

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bushkill Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 9

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.

• Albert B Defranco, MD

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1114992351
  NPD
• Ellen Marie Didimamoff, MD

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1578551248
  NPD
• Jane K. Garnjost, D.O.

  • Internal Medicine Physician
  • Bath, PA
  • NPI 1174660617
  NPD
• Drew Sara Holjes, CRNP

  • Nurse Practitioner
  • Wind Gap, PA
  • NPI 1053272609

  Family Medicine

  NPD
• Brenda L Kleinman, PAC

  • Physician Assistant
  • Wind Gap, PA
  • NPI 1891760666
  NPD
• Ken Zhongyu Zhang, MD

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1114412095
  NPD
• Linda K. Blose, M.D.

  • Internal Medicine Physician
  • Bath, PA
  • NPI 1457498990
  NPD (past)
• Kristin Joy Marek, M.D.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1477711893
  NPD (past)
• Vaghenag Vahe Tarpinian, MD

  • Family Medicine Physician
  • Bangor, PA
  • NPI 1700886181
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1063463701",
    "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": "610-863-7020",
            "fax_number": "866-833-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 BUSHKILL PLAZA LN",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180919665",
            "telephone_number": "610-863-7020",
            "fax_number": "866-833-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-526-3569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007307530018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bushkill Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Singer, SLP
• Slate Belt Family Practice PC
• St. Luke's Hospital Bethlehem (St. Luke's Care Now Wind Gap)
• St. Luke's Hosptial (St. Luke's Care Now - Wind Gap)
• St. Luke's Physician Group Inc (St. Luke's Family Practice Blue Valley)
• St. Luke's Physician Group, Inc. (St. Luke's Family Practice Wind Gap)
• Robert S Stasak
• Sarah Elizabeth Stein
• Kenneth P Sun, M.D.
• Valerie Lynn Szmaciasz

• Family Medicine Physician in Wind Gap, PA
• Providers in Wind Gap, 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 Oct 11, 2022; 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.