St. Luke'S Physician Group, Inc
Organization Active NPI Obstetrics & Gynecology Physician · Bethlehem, PA
NPI 1447801535 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1447801535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (484) 526-2538
- Fax
- (833) 213-6428
- NPI assigned
- Sep 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Elisha Amey
- Title
- Enrollment Specialist
- Phone
- (484) 526-2538
Corporate family (same tax ID) 24
Practitioners 1,548
-
Lauren A Colavita, CRNP
-
Robert Dequevedo, MD
-
Mary Pearl Greiss-Coult, D.O.
-
John T Hippen, M.D.
-
Glenn Leonel Konsky, D.O.
-
Jessica Nicole Krautsack, PA-C
-
Anthony G Luizza, M.D.
-
Justine Michelle Maziuk, CRNP
-
Alex Mercado, DO
-
Rachael Ann Naradko, CRNP
-
David Scaff, DO
-
Aleksandra Braun, MD
-
Chinenye Okezie Nwachuku, M.D.
-
Ihab Abdelaal, D.O.
-
Hassan Muhammad Abdullah, M.D.
-
Michael A Abgott, MD
-
Nadia Yasmin Abidi, M.D.
-
Lisa Marie Abosamra, P.A.
-
Wassim Abosamra, M.D
-
Ann E Acevedo, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Upper Bucks Emergency M
Locations
1736 Hamilton St
Fl E
Allentown, PA 18104
Phone (610) 865-0311
1736 Hamilton St
Ste 2
Allentown, PA 18104
1736 Hamilton St
Ste 1
Allentown, PA 18104
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
4505 Saucon Creek Rd
Center Valley, PA 18034
3311 Nazareth Rd
#1
Easton, PA 18045
Phone (610) 559-7880
2200 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone 4845261735 ext. 85413
1872 St Lukes Blvd
Ste 2
Easton, PA 18045
1872 St Lukes Blvd
Ste 1
Easton, PA 18045
2200 St Lukes Blvd
#200
Easton, PA 18045
770 State Rd
Lehighton, PA 18235
Phone (484) 613-4002
305 W North St
Nazareth, PA 18064
Phone (610) 759-2208
2793 Geryville Pike
Ste 2012
Pennsburg, PA 18073
801 Ostrum St
Philadelphia, PA 19178
3000 St Lukes Dr
Ste 2
Quakertown, PA 18951
1532 Park Ave
Ste 1012
Quakertown, PA 18951
670 Lawn Ave
Ste 42
Sellersville, PA 18960
1581 N 9th St
Ste 101
Stroudsburg, PA 18360
Phone (272) 721-2062
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
Central Verification Office
80 Ostrum Street
Bethlehem, PA 18015
Phone (484) 526-2538
Other providers in Bethlehem, PA
- St. Luke'S Physician Group Inc.
- St. Luke'S Physician Group Inc.
- St. Luke'S Physician Group Inc.
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
- St. Luke'S Physician Group, Inc.
All providers in Bethlehem, PA · Obstetrics & Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.