St. Luke's Physician Group, Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Practice address

5445 Lanark Road
3Rd Floor
Center Valley, PA 18034-0000

Phone

(484) 526-7300

Fax

(866) 449-5832

NPI assigned

Sep 13, 2006

Last updated

Aug 18, 2021By 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

Cvo Supervisor

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 55

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.

• Steven E Albrich, PAC

  • Physician Assistant
  • Palmerton, PA
  • NPI 1477518488
  NPD
• Nigel Opoku Amankwah, MD

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1871151100
  NPD
• Renee E Amori, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Center Valley, PA
  • NPI 1477647568
  NPD
• Jennifer Bloch

  • Gerontology Nurse Practitioner
  • Macungie, PA
  • NPI 1356881304
  NPD
• James J Boylan, MD

  • Gastroenterology Physician
  • Bethlehem, PA
  • NPI 1538159546
  NPD
• Patricia Brennan, MSN, OCN, CRNP

  • Nurse Practitioner
  • Quakertown, PA
  • NPI 1194173609
  NPD
• Emily L Cisek, DO

  • Obstetrics & Gynecology Physician
  • Scranton, PA
  • NPI 1518158740
  NPD
• Kylie A Coffield, PAC

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1477227734
  NPD
• Leyla Daneshdoost, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tannersville, PA
  • NPI 1871501379
  NPD
• Megan Patricia Dehaven, PA-S

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1194549097
  NPD
• Sruthi Devarinti, D.O

  • Neurology Physician
  • Bethlehem, PA
  • NPI 1417396276
  NPD
• Carmen Dobrovolschi, MD

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1588287494
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1215032503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 LANARK ROAD",
            "address_2": "3RD FLOOR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180340000",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LANARK ROAD",
            "address_2": "3RD FLOOR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180340000",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Emerson Speel, OD
• Gianna Speranza
• St Luke's Hospital (St Luke's Care Now Center Valley)
• St. Luke's Physician Group Inc. (St. Luke's Pediatric Cardiology)
• St. Luke's Physician Group, Inc. (St. Luke's Pediatric Endocrinology)
• St. Luke's Physician Group, Inc. (St. Luke's Coopersburg Pediatrics)
• St. Luke's Physician Group, Inc. (Coopersburg Center Valley Family Practice)
• St. Luke's Physician Group, Inc. (Coopersburg Center Valley Family Practice)
• St. Luke's Physician Group, Inc.
• St. Luke's Quakertown Hospital (St. Luke's Physical Therapy)

• Endocrinology, Diabetes & Metabolism Physician in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.