St. Luke'S Physician Group, Inc.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Practice address

1600 St Lukes Blvd
Easton, PA 18045-5671

Phone

(484) 503-4500

Fax

(484) 503-4501

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Sue Chiavaroli

Title

Cvo Supervisor

Phone

(484) 526-3569

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 72

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

• Sanjiv S Agarwala, MD

  • Specialist
  • Bethlehem, PA
  • NPI 1275505612
  NPD
• Ritika Aggarwal

  • Family Medicine Physician
  • Media, PA
  • NPI 1184203903
  NPD
• Heidar J Albandar, MD

  • Medical Oncology Physician
  • Fountain Hill, PA
  • NPI 1659766889
  NPD
• Aneela A. Ali, M.D.

  • Hematology & Oncology Physician
  • Wilkes Barre, PA
  • NPI 1215901400
  NPD
• Mariya H Apostolova, MD

  • Hematology & Oncology Physician
  • Butler, PA
  • NPI 1649408477
  NPD
• Lauren Jane Bachman, CRNP

  • Family Nurse Practitioner
  • Pottsville, PA
  • NPI 1902312770
  NPD
• Neil D Belman, DO

  • Medical Oncology Physician
  • Easton, PA
  • NPI 1598759847
  NPD
• Jamie Aaron Belo, M.D.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1619498524
  NPD
• Richard Boulay, MD

  • Gynecologic Oncology Physician
  • Easton, PA
  • NPI 1013926922
  NPD
• Alexandra Therese Buczek, PA-C

  • Physician Assistant
  • Fountain Hill, PA
  • NPI 1265983522
  NPD
• Jacquelyn Sara Carr, M.D.

  • Surgical Oncology Physician
  • Easton, PA
  • NPI 1104117910
  NPD
• Molly Elizabeth Cassidy, CRNP

  • Nurse Practitioner
  • Fountain Hill, PA
  • NPI 1952982076
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1790793149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4500",
            "fax_number": "484-503-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4500",
            "fax_number": "484-503-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CVO SUPERVISOR",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007307530011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Physician Group, Inc.
• St. Luke'S Specialty Associates, Inc
• Carol Ninno Stachnik, PTA

• Medical Oncology Physician in Easton, PA
• Providers in Easton, PA by specialty
• Medical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.