St. Luke's Physician Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

Bub and Associates Family Medical Center
St. Luke's Lehigh Primary Care

Practice address

3440 Lehigh St Ste 102
Allentown, PA 18103-7001

Phone

(484) 822-5900

NPI assigned

Jun 22, 2006

Last updated

Apr 26, 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 2

• Bub and Associates Family Medical Center Doing business as
• St. Luke's Lehigh Primary Care 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

Practitioners 5

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.

• Carol Lisa Bub, M.D.

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1215937271
  NPD
• Dylan Lesisko, CRNP

  • Nurse Practitioner
  • Allentown, PA
  • NPI 1295339489
  NPD
• Carolyn Morganelli

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1487027207
  NPD
• Timothy C Schmeltzle, D.O.

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1932194362
  NPD
• Matthew E Schultz, PAC

  • Physician Assistant
  • Allentown, PA
  • NPI 1124096797
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1851337364",
    "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": "484-526-6048",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LEHIGH ST STE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037001",
            "telephone_number": "484-822-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Dalton St",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "180493031",
            "country_code": "US",
            "telephone_number": "610-967-3646",
            "fax_number": "610-965-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bub and Associates Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Lehigh Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (Hanover Family Medical Group St. Luke's Sacred Heart)
• St. Luke's Physician Group, Inc. (Valley Family Practice)
• St. Luke's Physician Group, Inc. (St. Luke's Cedar Point Primary Care)
• St. Luke's Physician Group, Inc. (St. Luke's Psychiatric Associates - Parkland ASD Springhouse Middle Sc)
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Sacred Heart Pediatric and Adolescent Services)
• St. Luke's Physician Group, Inc. (Haven House Primary Care St. Luke's Sacred Heart)
• St. Luke's Physician Group, Inc. (Connelly Family Practice)
• St. Luke's Physicians Group Inc.

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.