Organization Active NPI

St. Luke's Physician Group, Inc.

  • Interventional Pain Medicine Physician
  • Quakertown, PA
National Provider Identifier
1316127376
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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)CodeLicenseStatePrimary
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 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

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.

View all 59

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

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.

Verify at the official NPI Registry.