St. Luke's Physician Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Practice address

575 S 9TH St Ste 1
Lehighton, PA 18235-2517

Phone

(570) 645-1990

Fax

(570) 645-1995

NPI assigned

Sep 19, 2006

Last updated

Feb 7, 2018By 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

Dean W Evans

Title

President

Phone

(610) 954-4991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 14

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.

• Meghan E. Astorino, PA

  • Medical Physician Assistant
  • Lehighton, PA
  • NPI 1144452590
  NPD (past)
• Cheryl Lynn Ayres, RPA-C

  • Physician Assistant
  • Lehighton, PA
  • NPI 1740481522
  NPD (past)
• Marie Burrell, CRNP

  • Nurse Practitioner
  • Lehighton, PA
  • NPI 1174048961
  NPD (past)
• Robert A Durako, DO

  • Internal Medicine Physician
  • Lehighton, PA
  • NPI 1164491551
  NPD (past)
• Lesley A Eggert, PA-C

  • Physician Assistant
  • Lehighton, PA
  • NPI 1144827999
  NPD (past)
• Daniel Forman, DO

  • Hematology & Oncology Physician
  • Lancaster, PA
  • NPI 1780633941
  NPD (past)
• Michael J Larock, MD

  • Hospitalist Physician
  • Bryn Mawr, PA
  • NPI 1639138829

  Internal Medicine

  NPD (past)
• Clement Charles McGinley, M. D.

  • Family Medicine Physician
  • Jim Thorpe, PA
  • NPI 1033229315
  NPD (past)
• Kristin Meckes, CRNP

  • Nurse Practitioner
  • Albrightsville, PA
  • NPI 1508256488
  NPD (past)
• Edward J Miller, MD

  • Internal Medicine Physician
  • Lehighton, PA
  • NPI 1851356364

  Multi-Specialty

  NPD (past)
• David O'Neill, DO

  • Internal Medicine Physician
  • Lehighton, PA
  • NPI 1215943337
  NPD (past)
• Dragana Sekulic, M.D.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1568434140
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1376640805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST STE 1",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "570-645-1990",
            "fax_number": "570-645-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST STE 1",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "570-645-1990",
            "fax_number": "570-645-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Mahoning St",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182351123",
            "country_code": "US",
            "telephone_number": "610-379-0200",
            "fax_number": "610-379-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2018-02-07",
        "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": "610-954-4991"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Hospital Bethlehem (St. Luke's Partial Hospitalization Program)
• St. Luke's Hospital-Carbon Campus
• St. Luke's Physician Group Inc (St. Luke's Lehighton Family Practice)
• St. Luke's Physician Group, Inc (St. Luke's General Surgery Lehighton)
• St. Luke's Physician Group, Inc. (St. Luke's Gyn Associates of Carbon and Schuylkill)
• St. Luke's Physician Group, Inc. (Carbon Surgical Associates)
• St. Luke's Physician Group, Inc. (Franklin Township Medical Associates)
• St. Michael's Medical, LLC
• Stalwart Emergency Physicians, PPLC
• Lisa Dawn Starr, BA, AAS, MSN, PMHNP

• Internal Medicine Physician in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.