St. Luke's Physician Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Practice address

3180 Route 611
Suite 22
Bartonsville, PA 18321-7824

Phone

(570) 664-8900

Fax

(570) 664-8905

NPI assigned

Apr 26, 2012

Last updated

Feb 8, 2018By 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

Dean W Evans

Title

President

Phone

(484) 526-4991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• Ronald J Buckley, MD

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1467448555
  NPD
• Christina Vetesy, CRNP

  • Nurse Practitioner
  • Bartonsville, PA
  • NPI 1942023510
  NPD
• Denise White

  • Nurse Practitioner
  • Allentown, PA
  • NPI 1154494961
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1760740864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611 STE 22",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217825",
            "telephone_number": "570-664-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611",
            "address_2": "SUITE 22",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217824",
            "telephone_number": "570-664-8900",
            "fax_number": "570-664-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2018-02-08",
        "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": "484-526-4991"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rozanne Secrest, M.S., LPC
• Service Boss, Inc. (Service Boss)
• Alissa Settle, LPC
• Candy Ann Shirey, PA-C
• St. Luke's Physician Group, Inc (St. Luke's General Surgery Monroe)
• Ashley Marie Strauss, CRNP
• Cory J Strubert, LCSW
• Pamela Faye Sykes, LPC
• Michael Joseph Terrery, D.M.D
• Pragya Mishra Thakur, MBA, NBC-HWC, MPH

• Internal Medicine Physician in Bartonsville, PA
• Providers in Bartonsville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.