NPIMap

St Luke'S Physician Group, Inc

Organization Active NPI Dermatopathology Physician · Bethlehem, PA

NPI 1629610936 · NPPES record last updated Oct 15, 2019

Key facts

NPI
1629610936
Entity type
Organization (NPI type 2)
Primary specialty
Dermatopathology Physician 207ND0900X
Legal business name
ST LUKE'S PHYSICIAN GROUP, INC
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-7764
Fax
(484) 526-6791
NPI assigned
Oct 9, 2019
Organization subpart
No

Authorized official

Name
Elisha Amey, ENROLLMENT
Title
Enrollment Specialist
Phone
(484) 526-2538

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Upper Bucks Emergency M (165 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207ND0900X Yes

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-2538

Other names

  • St. Luke's Dermatopathology Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2019.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1629610936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-7764",
            "fax_number": "484-526-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "AMEY",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "484-526-2538",
        "authorized_official_credential": "ENROLLMENT"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Dermatopathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Dermatopathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

All providers in Bethlehem, PA · Dermatopathology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.