Active NPI
St. Luke's Physician Group, Inc.
- Interventional Pain Medicine Physician
- Quakertown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC.
- Practice address
- 1534 Park Ave Ste 310
Quakertown, PA 18951-1087 - Phone
- (484) 526-7246
- Fax
- (866) 291-6192
- NPI assigned
- Nov 7, 2007
- Last updated
- Jan 24, 2018
- 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
- (484) 526-4991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1534 Park Ave Ste 310
Quakertown, PA 18951-1087
Mailing address
1534 Park Ave Ste 310
Quakertown, PA 18951-1087
Phone (484) 526-7246
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
701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067
9 Daves Way
Ofc Physicians
Hamburg, PA 19526
15065 Kutztown Rd
Ste 200
Kutztown, PA 19530
575 S 9th St
Ste 6AND8
Lehighton, PA 18235
217 Franklin Ave
Ste 3
Palmerton, PA 18071
614B Delaware Ave
Palmerton, PA 18071
Phone (484) 822-5850
120 Pine St
Tamaqua, PA 18252
Phone (570) 645-1540
Practitioners & affiliated clinicians
Practitioners 59
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.
-
- Medical Physician Assistant
- Schnecksville, PA
- NPI 1013073006
-
- Physician Assistant
- Allentown, PA
- NPI 1568841781
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1437736279
-
- Physician Assistant
- Bethlehem, PA
- NPI 1710858030
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fountain Hill, PA
- NPI 1174834634
-
- Foot & Ankle Surgery Podiatrist
- Quakertown, PA
- NPI 1346249208
-
- Surgery Physician
- Bethlehem, PA
- NPI 1235663295
-
- Emergency Medicine Physician
- Bethlehem, PA
- NPI 1023250818
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Allentown, PA
- NPI 1124589569
-
- Emergency Medicine Physician
- Hazleton, PA
- NPI 1740621382
-
- Colon & Rectal Surgery Physician
- East Stroudsburg, PA
- NPI 1134128622
-
- Physical Medicine & Rehabilitation Physician
- Sellersville, PA
- NPI 1497142236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1316127376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 PARK AVE STE 310",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511087",
"telephone_number": "484-526-7246",
"fax_number": "866-291-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 PARK AVE STE 310",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511087",
"telephone_number": "484-526-7246",
"fax_number": "866-291-6192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2018-01-24",
"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": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quakertown, PA
- St. Luke's Physician Group Inc (St. Luke's Upper Bucks Family Medical Center)
- St. Luke's Physician Group Inc (Orthopaedic Surgical Group Quakertown)
- St. Luke's Physician Group, Inc (St. Luke's Quakertown Primary Care)
- St. Luke's Physician Group, Inc.
- St. Luke's Physician Group, Inc. (St. Luke's General Surgery Quakertown)
- St. Luke's Physician Group, Inc. (St. Luke's Quakertown Radiology)
- St. Luke's Physician Group, Inc. (St. Luke's Quakertown Primary Care)
- St. Luke's Physician Group, Inc. (St. Luke's Quakertown Pediatrics)
- St. Luke's Physician Group, Inc. (St. Luke's Quakertown Family Practice)
- St. Luke's Physician Group, Inc. (Fountain Hill Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.