NPIMap

Organization Active NPI

Dr Bub & Assoc Family Medical Center

Doing business as St Lukes Physician Group

  • Family Medicine Physician
  • Emmaus, PA
National Provider Identifier
1669434064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR BUB & ASSOC FAMILY MEDICAL CENTER
Doing business as
St Lukes Physician Group
Practice address
619 Dalton St
Emmaus, PA 18049-3031
Phone
(610) 967-3646
Fax
(610) 966-8238
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. St Lukes Physician Group
Title
SLPG
Phone
(610) 965-6048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

619 Dalton St
Emmaus, PA 18049-3031

Mailing address

623 E Broad St
2ND Floor
Bethlehem, PA 18018-6332
Phone (610) 965-6048

Other names 1

  • ST LUKES PHYSICIAN GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper Bucks Emergency M165 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669434064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-965-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DALTON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493031",
            "telephone_number": "610-967-3646",
            "fax_number": "610-966-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BUB & ASSOC FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHYSICIAN GROUP",
        "authorized_official_first_name": "ST LUKES",
        "authorized_official_title_or_position": "SLPG",
        "authorized_official_telephone_number": "610-965-6048",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKES PHYSICIAN GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.