Organization Active NPI

St Luke's Sacred Heart Campus

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1336215227
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195501 Issued in PA
Legal business name
ST LUKE'S SACRED HEART CAMPUS
Practice address
450 Chew St
Allentown, PA 18102
Phone
(610) 776-5315
Fax
(610) 663-3107
NPI assigned
Nov 24, 2006
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKE'S HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Susan A Chiavaroli
Title
Supervisor Enrollments
Phone
(484) 526-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 195501 PA Primary

Addresses

Primary practice location

450 Chew St
Allentown, PA 18102

Mailing address

421 Chew St
Allentown, PA 18102-3490
Phone (610) 776-5315

National Provider Directory

National Provider Directory
Part of
Sacred Heart Hospital

Locations

421 Chew St
Fl 3
Allentown, PA 18102
Phone (484) 602-2733

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1336215227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023490",
            "telephone_number": "610-776-5315",
            "fax_number": "610-663-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18102",
            "telephone_number": "610-776-5315",
            "fax_number": "610-663-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S SACRED HEART CAMPUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S HEALTH NETWORK",
        "enumeration_date": "2006-11-24",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERVISOR ENROLLMENTS",
        "authorized_official_telephone_number": "484-526-3569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "195501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.