St. Luke's Physician Group, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

St. Luke's OB/GYN Stoneridge

Practice address

670 Lawn Ave Ste 4
Sellersville, PA 18960-1571

Phone

(215) 257-0414

Fax

(215) 257-1740

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. LUKE'S PHYSICIAN GROUP INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elisha Amey

Title

Enrollment Specialist

Phone

(484) 526-2538

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's OB/GYN Stoneridge Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Saucon Valley Family PR

Locations

Practitioners 34

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.

• Iftikhar Ahmad, M.D.

  • Internal Medicine Physician
  • Northampton, PA
  • NPI 1699776369
  NPD
• Savannah Leigh Ciaramella, PA-C

  • Physician Assistant
  • Stroudsburg, PA
  • NPI 1043730898
  NPD
• Melissa Anne Clark, MD/PHD

  • Cardiovascular Disease Physician
  • Bethlehem, PA
  • NPI 1063901452
  NPD
• Jordan Taylor Dixon, PA-C

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1447037742
  NPD
• Aaron Fedor

  • Emergency Medicine Physician
  • Easton, PA
  • NPI 1013409648
  NPD
• Caitlin Foley, MD, PHD

  • Gastroenterology Physician
  • Fountain Hill, PA
  • NPI 1134546401
  NPD
• Harsh Goel, MD

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1619159472
  NPD
• Elizabeth Grasmeder-Smith, CRNP, MSN

  • Nurse Practitioner
  • Sellersville, PA
  • NPI 1871619742

  Obstetrics & Gynecology

  NPD
• Roland Howard, M.D.

  • Orthopaedic Surgery Physician
  • Stroudsburg, PA
  • NPI 1366979163
  NPD
• Caroline Alexis Interrante, M.D.

  • Anesthesiology Physician
  • Fountain Hill, PA
  • NPI 1467879494
  NPD
• Marianne Nabil Iskander, PA-C

  • Physician Assistant
  • Sellersville, PA
  • NPI 1215418041
  NPD
• Fedaa Jabir, PAC

  • Physician Assistant
  • Lehighton, PA
  • NPI 1467288720
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1649860214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178891",
            "telephone_number": "484-526-2538",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE STE 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-0414",
            "fax_number": "215-257-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194382400",
            "country_code": "US",
            "telephone_number": "215-257-0414",
            "fax_number": "215-257-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S PHYSICIAN GROUP INC.",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's OB/GYN Stoneridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Luke's Physician Group, Inc (St. Luke's Pennridge Pediatrics)
• St. Luke's Ambulatory Services Inc. (St. Luke's Endoscopy Center- Buxmont)
• St. Luke's Hospital Grand View Campus
• St. Luke's Hospital Grand View Campus
• St. Luke's Physician Group Inc. (St. Luke's Buxmont Gastroenterology Specialists)
• Sara B St.Onge, B.A.
• Mallorie Stafford, LPC
• Molly J Stanton, M.S.
• Gail A Stasiw
• Megan Steich, M.ED.

• Obstetrics & Gynecology Physician in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.