Active NPI
St Luke's Sacred Heart Campus
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1336215227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 195501
- 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, 2018
- Organization subpart
- Yes
- Parent organization
- ST. LUKE'S HEALTH NETWORK
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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.
-
- Family Nurse Practitioner
- Allentown, PA
- NPI 1992216758
-
- Family Nurse Practitioner
- Loris, SC
- NPI 1508262486
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
- St Luke's Hospital (St. Luke's Hospital-Sacred Heart Campus)
- St Luke's Hospital (St. Luke's Hospital-Sacred Heart Transitional Care Facility)
- St Luke's Hospital (St. Luke's Hospital- Sacred Heart Campus)
- St Luke's Physician Group Inc (St. Luke's Developmental Pediatrics)
- St Luke's Physician Group Inc
- St Lukes Homestar Services LLC (ST. LUKE'S HOMESTAR PHARMACY - Allentown)
- St Lukes Hospital (St Lukes Allentown Out-Patient Nutrition Services)
- Jamie St. Clair, M.S, CCC-SLP/L
- St. Luke's Hospital
- St. Luke's Hospital (St. Luke's Hospital Allentown Campus)
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.