Organization Active NPI

St. Luke's Physician Group, Inc.

Doing business as St. Luke's Emergency Physician Specialists

  • Emergency Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1730133059
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Doing business as
St. Luke's Emergency Physician Specialists
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-4500
Fax
(484) 526-6674
NPI assigned
May 20, 2006
Last updated
May 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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
(484) 526-3383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4500

Other practice location 1

421 Chew St
Allentown, PA 18102-3406
Phone (610) 776-4622

Other practice location 2

1736 Hamilton St
Allentown, PA 18104-5656
Phone (610) 628-8383

Other practice location 3

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 503-1200

Other practice location 4

100 St Lukes Ln
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

Other practice location 5

1021 Park Ave
Quakertown, PA 18951-0130
Phone (215) 538-4651

Other practice location 6

360 W Ruddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

Other identifiers 2

IdentifierTypeStateIssuer
1007307530271MedicaidPA
831674OtherPAMEDICARE (QUAKERTOWN LOCATION)

Other names 1

  • St. Luke's Emergency Physician Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000062 PA Part B Supplier - Clinic/Group Practice 6709798333 Receives reassigned benefits from 3,523 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 131

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.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1730133059",
    "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": "484-526-4500",
            "fax_number": "484-526-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4500",
            "fax_number": "484-526-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023406",
            "country_code": "US",
            "telephone_number": "610-776-4622",
            "fax_number": "610-776-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1736 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045656",
            "country_code": "US",
            "telephone_number": "610-628-8383",
            "fax_number": "610-628-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1872 St Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455669",
            "country_code": "US",
            "telephone_number": "484-503-1200",
            "fax_number": "484-503-1206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 St Lukes Ln",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606217",
            "country_code": "US",
            "telephone_number": "272-212-1000",
            "fax_number": "272-212-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189510130",
            "country_code": "US",
            "telephone_number": "215-538-4651",
            "fax_number": "215-529-5290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Ruddle St",
            "address_purpose": "LOCATION",
            "city": "Coaldale",
            "state": "PA",
            "postal_code": "182181027",
            "country_code": "US",
            "telephone_number": "570-645-8127",
            "fax_number": "570-645-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-05-28",
        "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": "484-526-3383"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007307530271",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (QUAKERTOWN LOCATION)",
            "identifier": "831674",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Emergency Physician Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Emergency Physician Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.