Active NPI
St. Luke's Physician Group, Inc.
Doing business as St. Luke's Orthopedic Care
- Orthopaedic Surgery Physician
- Fountain Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| 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
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Brodheadsville, PA
- NPI 1477191682
-
- Physician Assistant
- Bethlehem, PA
- NPI 1386685550
-
- Physician Assistant
- Lancaster, PA
- NPI 1275826059
-
- Physician Assistant
- Scranton, PA
- NPI 1194239244
-
- Physician Assistant
- Bethlehem, PA
- NPI 1871165514
-
- Chiropractor
- Bethlehem, PA
- NPI 1013914969
-
- Orthopaedic Surgery Physician
- Sellersville, PA
- NPI 1477528172
-
- Vascular & Interventional Radiology Physician
- Bethlehem, PA
- NPI 1861925422
-
- Physician Assistant
- Danville, PA
- NPI 1871465716
-
- Sports Medicine (Family Medicine) Physician
- Orwigsburg, PA
- NPI 1740638931
-
- Medical Physician Assistant
- Bethlehem, PA
- NPI 1639563752
-
- Orthopaedic Surgery Physician
- Sellersville, PA
- NPI 1528032281
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
- St. Luke's Physician Group Inc (St. Luke's Chiropractic Care)
- 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 Center for Pelvic Health)
- St. Luke's Physician Group, Inc. (St. Luke's Pediatric Gastroenterology)
- St. Luke's Physician Group, Inc.
- St. Luke's Physician Group, Inc. (St. Luke's Northgate Internal Medicine)
- St. Luke's Physician Group, Inc. (St. Luke's Pulmonary Associates)
- St. Luke's Physician Group, Inc. (St. Luke's Neurosurgical Associates)
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.