Individual provider Active NPI

Shannon Christine Theobald-Galgano, MD

  • Obstetrics & Gynecology Physician
  • Easton, PA
National Provider Identifier
1730670159
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD476823 Issued in PA
Practice address
4051 Freemansburg Ave
Easton, PA 18045-5596
Phone
(484) 503-7474
NPI assigned
May 21, 2018
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD476823 PA Primary

Addresses

Primary practice location

4051 Freemansburg Ave
Easton, PA 18045-5596

Mailing address

4051 Freemansburg Ave
Easton, PA 18045-5596
Phone (484) 503-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220622000176 PA Practitioner - Obstetrics/Gynecology 2062891021 Reassigns benefits to 2 organizations
I20220926000160 NJ Practitioner - Obstetrics/Gynecology 2062891021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Farley BLDG. 2ND Floor
Phillipsburg, NJ 08865-1627

39 Roseberry St
Suite 2
Phillipsburg, NJ 08865-1627
Phone (908) 847-1037

755 Memorial Pkwy
Phillipsburg, NJ 08865-2771

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (484) 526-4761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD476823PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 1, 2022 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients
St Luke's Hospital Past Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

4051 Freemansburg Ave
Easton, PA 18045
Phone (484) 503-7474

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: shannon.theobald@slpg.direct-sluhn.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1730670159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 FREEMANSBURG AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455596",
            "telephone_number": "484-503-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 FREEMANSBURG AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455596",
            "telephone_number": "484-503-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALD-GALGANO",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD476823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.