Organization Active NPI

St. Luke's Physician Group, Inc.

Doing business as St. Luke's Orthopedic Care

  • Orthopaedic Surgery Physician
  • Fountain Hill, PA
National Provider Identifier
1144249251
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Doing business as
St. Luke's Orthopedic Care
Practice address
801 Ostrum St
PPHP, 2ND Floor
Fountain Hill, PA 18015-1000
Phone
(484) 526-1735
Fax
(484) 526-2429
NPI assigned
Jul 19, 2006
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PS0010X
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X

Addresses

Primary practice location

801 Ostrum St
PPHP, 2ND Floor
Fountain Hill, PA 18015-1000

Mailing address

801 Ostrum St
Priscella Payne Hurd 2ND FL
Bethlehem, PA 18015-1000
Phone (484) 526-1735

Other names 1

  • St. Luke's Orthopedic Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

82 Main St
Lowr Lvl
Kingston, MA 02364

6301 N Lucerne Ave
Kansas City, MO 64151
Phone (816) 437-8262

755 Memorial Pkwy
Bldg 200
Phillipsburg, NJ 08865

755 Memorial Pkwy
Ste 105
Phillipsburg, NJ 08865
Phone (908) 859-2793

1648 Hamilton St
Allentown, PA 18102
Phone (610) 628-8038

1901 Hamilton St
Ste 100
Allentown, PA 18104
Phone (610) 435-2590

801 Ostrum St
Ste 4
Bethlehem, PA 18015
Phone (484) 526-4644

175 Newlins Rd W
Easton, PA 18040
Phone (484) 526-4035

142 Clemens Rd
Ste 2
Harleysville, PA 19438

1532 Park Ave
#2
Quakertown, PA 18951

2701 Shillington Rd
Ste 100
Reading, PA 19608
Phone (484) 822-6170

670 Lawn Ave
#2
Sellersville, PA 18960

3456 Bethlehem Pike
Fl 1
Souderton, PA 18964
Phone (215) 385-2936

1177 6th St
Whitehall, PA 18052
Phone (610) 403-1010

2363 MacArthur Rd
Ofc
Whitehall, PA 18052

Practitioners & affiliated clinicians

Practitioners 71

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.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1144249251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "PRISCELLA PAYNE HURD 2ND FL",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-1735",
            "fax_number": "484-526-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "PPHP, 2ND FLOOR",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-1735",
            "fax_number": "484-526-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "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": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Orthopedic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.