St. Luke's Physician Group Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP INC.

Doing business as

St. Luke's General Surgery - Anderson

Practice address

5325 Northgate Dr Ste 204
Bethlehem, PA 18017-9413

Phone

(610) 865-5535

Fax

(610) 865-4300

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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 Evans

Title

President

Phone

(484) 526-3383

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's General Surgery - Anderson Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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.

• Kristen M. Daniels, PA-C

  • Surgical Physician Assistant
  • Waymart, PA
  • NPI 1023292539
  NPD
• Daniel Robert Fegely, DO

  • Surgery Physician
  • Bartonsville, PA
  • NPI 1952780173
  NPD
• Christina D Jarrell, PA-C

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1700336518
  NPD
• Kevin McVeigh, MD

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1336536176
  NPD
• Eric Michael Pridgen, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lehighton, PA
  • NPI 1174051254
  NPD
• Allison C Estep, MD

  • Surgery Physician
  • Washington, NC
  • NPI 1730574781

  Single Specialty

  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1417565847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 204",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "610-865-5535",
            "fax_number": "610-865-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 204",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "610-865-5535",
            "fax_number": "610-865-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-526-3383"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's General Surgery - Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group Inc
• St. Luke's Physician Group Inc. (St. Luke's Surgical Optimization Center)
• St. Luke's Physician Group Inc. (St. Luke's Family Practice)
• St. Luke's Physician Group Inc.
• St. Luke's Physician Group Inc.
• St. Luke's Physician Group Inc. (St. Luke's Family Practice Clinic at Donegan)
• St. Luke's Physician Group Inc.
• St. Luke's Physician Group Inc.
• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc

• Surgery Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.