St. Luke's Physician Group, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC

Doing business as

St. Luke's Dermatology Associates

Practice address

1600 St Lukes Blvd Ste 100
Easton, PA 18045-5671

Phone

(484) 526-7546

Fax

(484) 503-6223

NPI assigned

Sep 27, 2018

Last updated

Aug 18, 2021By 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

Sue Chiavaroli

Title

Cvo Supervisor

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Dermatology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 56

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.

• Meena Agarwala, MD

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1447222070
  NPD
• Zubair Ahmed, MD

  • Hospitalist Physician
  • Doylestown, PA
  • NPI 1619354289
  NPD
• David Leonard Andolino, MD

  • Radiation Oncology Physician
  • Easton, PA
  • NPI 1477715407
  NPD
• Tecile Trakeshia Prince Andolino, M.D.

  • Pediatric Nephrology Physician
  • Center Valley, PA
  • NPI 1609034875
  NPD
• Yull Edwin Arriaga, MD

  • Hematology & Oncology Physician
  • Bethlehem, PA
  • NPI 1023065091
  NPD
• Kristen Leigh Baumgartner, PA

  • Physician Assistant
  • Stroudsburg, PA
  • NPI 1891379236
  NPD
• David A Blanco, MD

  • Pediatric Gastroenterology Physician
  • Center Valley, PA
  • NPI 1619198769
  NPD
• Mary Miller Braden, MD

  • Dermatology Physician
  • Center Valley, PA
  • NPI 1922327022
  NPD
• Livia Bratis, D.O.

  • Pulmonary Disease Physician
  • Bethlehem, PA
  • NPI 1376523027
  NPD
• Joseph Aaron Butash, M.D.

  • Emergency Medicine Physician
  • Bethlehem, PA
  • NPI 1942594817
  NPD
• Shannyn Carey

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1306383195
  NPD
• Pinxia Chen, M.D.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1205102944
  NPD

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1821573619",
    "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": "484-526-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD STE 100",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-526-7546",
            "fax_number": "484-503-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Lanark Road",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "18034",
            "country_code": "US",
            "telephone_number": "484-526-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 E 3rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180152072",
            "country_code": "US",
            "telephone_number": "484-526-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Eaton Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180181832",
            "country_code": "US",
            "telephone_number": "484-526-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 St Luke's Blvd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "18045",
            "country_code": "US",
            "telephone_number": "484-526-7546",
            "fax_number": "484-503-7547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "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": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group Inc. (ASC at St. Luke's Hospital)
• St. Luke's Physician Group Inc., Dba (St. Luke's Ob/Gyn-Easton Associates and Brighton)
• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc (St. Luke's Opthalmology Associates)
• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc. (St. Luke's Internal Medicine Wilson)
• St. Luke's Physician Group, Inc. (St. Luke's Family Medicine Easton)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Lifestyle Medicine Center)

• Dermatology Physician in Easton, PA
• Providers in Easton, PA by specialty
• Dermatology 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.