St. Luke'S Physician Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC

Practice address

1581 N 9TH St
Stroudsburg, PA 18360-7576

Phone

(272) 212-4490

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Sue Chiavaroli

Title

Cvo Supervisor

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Charney, MD

  • Family Medicine Physician
  • Fogelsville, PA
  • NPI 1336286004

  Family Medicine

  NPD
• Eric F Dultz, MD

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1154067916

  Family Medicine

  NPD
• Christine Huber, CRNP

  • Family Medicine Physician
  • Stroudsburg, PA
  • NPI 1992457204

  Family Medicine

  NPD

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1679972376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601027",
            "telephone_number": "570-421-0170",
            "fax_number": "570-424-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607576",
            "telephone_number": "272-212-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 W Main St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183601027",
            "country_code": "US",
            "telephone_number": "570-421-0170",
            "fax_number": "570-424-5167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 N 9th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606501",
            "country_code": "US",
            "telephone_number": "570-664-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Luke'S Physician Group, Inc
• St. Luke'S Homestar Services, LLC
• St. Luke'S Hospital Monroe Campus
• St. Luke'S Hospital Monroe Campus
• St. Luke'S Physician Group, Inc
• St. Luke'S Physician Group, Inc
• St. Luke'S Physician Group, Inc.
• Leah Stahler, PA-C
• Robert J Starner, DDS
• Lubomira Stieber

• All providers in Stroudsburg, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.