St. Luke'S Physician Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

Palisades Family Practice

Practice address

8330 Easton Rd
Suite C
Ottsville, PA 18942-1765

Phone

(267) 424-8020

Fax

(267) 424-8025

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dean W Evans

Title

President

Phone

(610) 954-4991

Specialties & licenses 1

Addresses

Other names 1

• Palisades Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Lauren Gordon, CRNP

  • Nurse Practitioner
  • Ottsville, PA
  • NPI 1992139125
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1699700260",
    "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": "267-424-8020",
            "fax_number": "267-424-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 EASTON RD",
            "address_2": "SUITE C",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189421765",
            "telephone_number": "267-424-8020",
            "fax_number": "267-424-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-954-4991"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palisades Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Nicole Schaffer
• Leighan Patricia Schultz, MS OTR/L
• Susan Sklaroff-Van Hook, LPC
• Cathy Snyder, RN
• Robert Joseph Snyder, LCSW
• Terry F. Rakowsky, D.M.D.,P.C.
• Upper Bucks Chiropractic Center
• Alexandra Grace Voutsinas
• Well of Life Center for Natural Health, LLC
• Jonathan Wiktorchik Jr., D.C.

• Family Medicine Physician in Ottsville, PA
• Providers in Ottsville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.