St. Luke'S Physician Group Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP INC.

Practice address

120 Pine St
Suite B
Tamaqua, PA 18252

Phone

(570) 645-1580

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Susan Chiavaroli

Title

Manager

Phone

(484) 526-3569

Specialties & licenses 2

Addresses

Other names 1

• St. Luke's ENT Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 9

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

• Jenna Clarke, PA-C

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1407407943
  NPD
• Howard K Horne, MD

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1356395883
  NPD
• Jeffrey A. Jahre, M.D.

  • Infectious Disease Physician
  • Bethlehem, PA
  • NPI 1326144296
  NPD
• Albita Sandra Lasanta, N.P.

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1346248747
  NPD
• Jessica Mosebach, PA-C

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1962098673
  NPD
• Amanda Lynn Ganza, M.D.

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
  • NPI 1972845055

  Single Specialty

  NPD
• Andrew John Ferretti, PA-C

  • Medical Physician Assistant
  • Allentown, PA
  • NPI 1003193806
  NPD (past)
• Keith A. Holdren, PA-C

  • Physician Assistant
  • Allentown, PA
  • NPI 1902858202
  NPD (past)
• Jarrod Adam Keeler, M.D.

  • Otolaryngology Physician
  • Stanford, CA
  • NPI 1194046151
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1770028136",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PINE ST",
            "address_2": "SUITE B",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "18252",
            "telephone_number": "570-645-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 High Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177809",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N 5th St Fl Stl3",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023367",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 Farmersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180209757",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "497 Bushkill Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Wind Gap",
            "state": "PA",
            "postal_code": "180919665",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 William Penn Hwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455283",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 Baglyos Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180208038",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Cetronia Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181049147",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Am Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189516403",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1728 W Jonathan St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181043170",
            "country_code": "US",
            "telephone_number": "610-776-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's ENT Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Lynn Smith, DPT
• Smnrc, LP
• Ashley Lyn Smolinsky, PT
• Spaeth, Katz, Myers PC
• St. Luke'S Miners Memorial Home Care
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• Kelly Jo Stroede, CRNP
• Stephanie Dawn Strouse, OTR/L

• Otolaryngology Physician in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.