St Luke'S Physician Group, Inc
Organization Active NPI Family Medicine Physician · Reading, PA
NPI 1144091802 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1144091802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ST LUKE'S PHYSICIAN GROUP, INC
- Practice address
- 2701 Shillington Rd Ste 200
Reading, PA 19608-1732 - Phone
- (484) 658-6500
- Fax
- (484) 822-9440
- NPI assigned
- Jan 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Sue Chiavaroli
- Title
- Manager
- Phone
- (484) 526-3569
Corporate family (same tax ID) 24
Practitioners 3
-
Julia Friend, PA-C
-
Courtlynn M. Lawler, PA-C
-
John M Manubay, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| 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
- Tax ID family
- Upper Bucks Emergency M
Locations
2701 Shillington Rd
Ste 200
Reading, PA 19608
Phone (484) 658-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2701 Shillington Rd Ste 200
Reading, PA 19608-1732
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000
Other names
- St. Luke's Spring Township Primary Care
Other providers in Reading, PA
- St Joseph Regional Health Network
- St Joseph Regional Health Network
- St Joseph Regional Health Network
- St Joseph Regional Health Network
- St Luke'S Hospital
- St. Joseph Medical Group
- St. Joseph Medical Group
- St. Joseph Medical Group
- St. Joseph Regional Health Network
- St. Joseph Regional Health Network
All providers in Reading, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.