St. Luke's Physician Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

St. Luke's General Surgery Bethlehem

Practice address

701 Ostrum St Ste 202
Fountain Hill, PA 18015-1152

Phone

(484) 526-2200

Fax

(484) 526-2398

NPI assigned

Feb 12, 2007

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tami Giglio

Title

Enrollment Specialist

Phone

(484) 526-3571

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Luke's General Surgery Bethlehem Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 39

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.

• Lane Alderfer, PAC

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1235952243
  NPD
• Beverly Ann Aldinger, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1598356032
  NPD
• Carolyn Anne Correa, CRNP

  • Nurse Practitioner
  • Stroudsburg, PA
  • NPI 1376361576
  NPD
• Meagan Corrigan, DO

  • Emergency Medicine Physician
  • Bethlehem, PA
  • NPI 1376036426
  NPD
• Marcia Lisa Dorsey, CRNP

  • Nurse Practitioner
  • Easton, PA
  • NPI 1295547867
  NPD
• Rachel Antoinette Earle, MD

  • Internal Medicine Physician
  • Stroudsburg, PA
  • NPI 1912646795
  NPD
• Jocelyn J Engle, PA

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1790788974
  NPD
• Jamie Feick, CRNP

  • Family Nurse Practitioner
  • Hazleton, PA
  • NPI 1457007304
  NPD
• Katherine Ferrara, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1609503317
  NPD
• Julia L Franzosa

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1568015899
  NPD
• Michaela Garland, PAC

  • Urology Physician
  • Pittsburgh, PA
  • NPI 1417544917
  NPD
• Craig R Goldberg, M.D.

  • Neurological Surgery Physician
  • Fountain Hill, PA
  • NPI 1811951387
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1689716375",
    "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": "484-526-2200",
            "fax_number": "484-526-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 202",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N 5th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023367",
            "country_code": "US",
            "telephone_number": "610-776-4928",
            "fax_number": "610-606-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "634 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180186362",
            "country_code": "US",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177300",
            "country_code": "US",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 St. Luke's Blvd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "18045",
            "country_code": "US",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "GIGLIO",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "484-526-3571"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007307530230",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's General Surgery Bethlehem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Northgate Internal Medicine)
• St. Luke's Physician Group, Inc. (St. Luke's Pulmonary Associates)
• St. Luke's Physician Group, Inc. (St. Luke's Neurosurgical Associates)
• St. Luke's Physician Group, Inc.
• St. Luke's Pulmonary Sleep Medicine
• Kaitlyn Marie Stahl
• Deborah Marie Stahlnecker, DO
• Hayley Rose Stauffer, PA-C
• Angela Louise Stevens-Carr, MA

• Surgery Physician in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.