St. Luke's Physician Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Practice address

2403 Butler St
Easton, PA 18042-5302

Phone

(484) 526-2200

Fax

(484) 526-2398

NPI assigned

May 22, 2020

Last updated

May 22, 2020By 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

Sue Chiavaroli

Title

Supervisor

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 14

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.

• Ricardo Calla, PA

  • Physician Assistant
  • Mechanicsburg, PA
  • NPI 1306804620
  NPD
• Alexandros Dimitriadis, PA-C

  • Physician Assistant
  • Palmerton, PA
  • NPI 1083162671
  NPD
• Samuel Hammerman, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Shavertown, PA
  • NPI 1235135484
  NPD
• Vera Maslov, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethlehem, PA
  • NPI 1467966358
  NPD
• Michael Louis Mastria, MD

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1659995496
  NPD
• Diedra Elena Amendola McCafferty, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1720211196
  NPD
• Thomas R Pfeiffer, M.D.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1962791517
  NPD
• Linda Reynolds, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1518394782
  NPD
• Daniel M Silverberg, M.D.

  • Urology Physician
  • Allentown, PA
  • NPI 1245222793
  NPD
• Gurbinder Singh, D.O.

  • Critical Care Medicine (Anesthesiology) Physician
  • Bethlehem, PA
  • NPI 1356632053
  NPD
• Angela Spurlock, CRNP

  • Family Nurse Practitioner
  • Easton, PA
  • NPI 1922768209
  NPD
• Melissa Ann Van Hoof, PA-C

  • Medical Physician Assistant
  • Sellersville, PA
  • NPI 1376628339
  NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1083237242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425302",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425302",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Physician Group, Inc (St. Luke's Opthalmology Associates)
• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc (St. Luke's Dermatology Associates)
• St. Luke's Physician Group, Inc. (St. Luke's Internal Medicine Wilson)
• St. Luke's Physician Group, Inc. (St. Luke's Family Medicine Easton)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Lifestyle Medicine Center)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Family Medicine Anderson)

• Surgery Physician in Easton, PA
• Providers in Easton, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.