St. Luke'S Physician Group Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP INC

Practice address

830 Ostrum St
Fountain Hill, PA 18015-1013

Phone

(610) 954-9005

Fax

(610) 954-9410

NPI assigned

Jul 19, 2006

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

(610) 954-4991

Specialties & licenses 1

Addresses

Other names 1

• Allen Neurosurgical Association Doing business as

Tax ID family

Upper Bucks Emergency M165 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• St Luke'S Physician Group Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethlehem, PA
  • NPI 1033158910
  NPD tax ID
• St Luke'S Physician Group Inc

  • Pediatrics Physician
  • Fountain Hill, PA
  • NPI 1093321622
  NPD tax ID
• St Luke'S Physician Group, Inc

  • Pediatrics Physician
  • Sellersville, PA
  • NPI 1043164833
  NPD tax ID
• St Luke'S Physician Group, Inc

  • Family Medicine Physician
  • Reading, PA
  • NPI 1144091802
  NPD tax ID
• St. Luke'S Physician Group

  • Orthopaedic Surgery Physician
  • Quakertown, PA
  • NPI 1093906711
  NPD tax ID
• St. Luke'S Physician Group Inc

  • Family Medicine Physician
  • Easton, PA
  • NPI 1063784254
  NPD tax ID
• St. Luke'S Physician Group Inc

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1083025290
  NPD tax ID
• St. Luke'S Physician Group Inc

  • General Practice Physician
  • Ashland, PA
  • NPI 1134544497
  NPD tax ID
• St. Luke'S Physician Group Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1134661408
  NPD tax ID
• St. Luke'S Physician Group Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1083092019
  NPD tax ID
• St. Luke'S Physician Group Inc.

  • Obstetrics & Gynecology Physician
  • Easton, PA
  • NPI 1114305141
  NPD tax ID
• St. Luke'S Physician Group Inc.

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1124472345
  NPD tax ID

Locations (25 of 26)

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryellen Katherine Dye, RN, PHD, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1366461451
  NPD (past)
• Rachel Hanson, PA-C

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1124357637
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073532016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E BROAD ST",
            "address_2": "2ND FLR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-954-6048",
            "fax_number": "610-954-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OSTRUM ST",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151013",
            "telephone_number": "610-954-9005",
            "fax_number": "610-954-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "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": "610-954-4991"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Neurosurgical Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisha Skumautz, PTA
• Brianna Marie Smith, RD, MS
• Nicole Marie Smith
• Robert Spatzer, CRNP
• 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.

• Neurological Surgery Physician in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.