St Luke'S Physician Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST LUKE'S PHYSICIAN GROUP INC

Practice address

530 Centre St
Ashland, PA 17921-1330

Phone

(570) 889-3103

Fax

(866) 230-8090

NPI assigned

Apr 27, 2012

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) 526-4991

Specialties & licenses 2

Addresses

Other names 1

• St. Luke's Ashland Family Practice 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.

• Wafa S Hanna, MD

  • Family Medicine Physician
  • Palmerton, PA
  • NPI 1851387831
  NPD
• Dusty Roy Haverly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
  • NPI 1386608552
  NPD
• Lauren Ashley Kennedy

  • Nurse Practitioner
  • Center Valley, PA
  • NPI 1700474699
  NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1134487119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211330",
            "telephone_number": "570-889-3103",
            "fax_number": "866-230-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CENTRE ST",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179211330",
            "telephone_number": "570-889-3103",
            "fax_number": "866-230-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2018-02-07",
        "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": "484-526-4991"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Ashland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Ashland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Catherine Hospital of Pennsylvania LLC
• Saint Catherine Hospital of Pennsylvania LLC
• Saint Catherine Hospital of Pennsylvania, LLC
• Saint Catherine Hospital of Pennsylvanis, LLC
• Saint Catherine Medical Group LLC
• St. Catherine Physician Services of Pennsylvania, LLC
• St. Catherine Physician Services of Pennsylvania, LLC
• St. Luke'S Physician Group Inc
• John William Stefovic, MD
• Synergy Counseling Services, LLC

• Family Medicine Physician in Ashland, PA
• Providers in Ashland, 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 Feb 7, 2018; 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.