Active NPI
St. Luke's Physician Group, Inc.
- Obstetrics & Gynecology Physician
- Bethlehem, PA
National Provider Identifier
1609977479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC.
- Practice address
- 834 Eaton Ave FL 1
Bethlehem, PA 18018-1832 - Phone
- (484) 526-7474
- Fax
- (833) 814-7405
- NPI assigned
- Sep 26, 2006
- Last updated
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
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
- (484) 526-4991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
834 Eaton Ave FL 1
Bethlehem, PA 18018-1832
Mailing address
834 Eaton Ave FL 1
Bethlehem, PA 18018-1832
Phone (484) 526-7474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| 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
National Provider DirectoryLocations
3440 Lehigh St
Ste 101
Allentown, PA 18103
Phone (484) 822-5400
2403 Butler St
Easton, PA 18042
Phone (484) 822-5405
2363 MacArthur Rd
Whitehall, PA 18052
Phone (484) 822-5154
Practitioners & affiliated clinicians
Practitioners 40
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.
-
- Infectious Disease Physician
- Bethlehem, PA
- NPI 1629331319
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1962070110
-
- Dermatology Physician
- Easton, PA
- NPI 1487961785
-
- Obstetrics & Gynecology Physician
- Allentown, PA
- NPI 1811076359
-
- Obstetrics & Gynecology Physician
- Quakertown, PA
- NPI 1720229891
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1043600760
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1376930164
-
- Obstetrics & Gynecology Physician
- Easton, PA
- NPI 1811191976
-
- Obstetrics & Gynecology Physician
- Allentown, PA
- NPI 1760589857
-
- Medical Oncology Physician
- Bethlehem, PA
- NPI 1922449842
-
- Emergency Medicine Physician
- Allentown, PA
- NPI 1659503019
-
- Physician Assistant
- Allentown, PA
- NPI 1902858202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1609977479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 EATON AVE FL 1",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181832",
"telephone_number": "484-526-7474",
"fax_number": "833-814-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 EATON AVE FL 1",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181832",
"telephone_number": "484-526-7474",
"fax_number": "833-814-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2018-01-24",
"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": "484-526-4991"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- St. Luke's Physician Group, Inc.
- St. Luke's Physician Group, Inc. (St. Luke's Cardiac Testing Center)
- St. Luke's Physician Group, Inc. (St. Luke's Plastic & Reconstructive Surgery)
- St. Luke's Physician Group, Inc. (St. Luke's Pediatric Associates)
- St. Luke's Physician Group, Inc.
- St. Luke's Physician Group, Inc. (St. Luke's Medical Toxicology)
- St. Luke's Physician Group, Inc. (St. Luke's Center for Perioperative Medicine)
- St. Luke's Physician Group, Inc. (South Mountain Family Practice)
- St. Luke's Physician Group, Inc. (St. Luke's Emergency Physician Specialists)
- St. Luke's Physician Group, Inc. (St. Luke's Pediatric Nephrology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.