St. Luke'S Physician Group, Inc.
Organization Active NPI Family Medicine Physician · Quakertown, PA
NPI 1851430474 · NPPES record last updated Apr 19, 2010
Key facts
- NPI
- 1851430474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC.
- Practice address
- 401 W Broad St
Quakertown, PA 18951-1264 - Phone
- (215) 538-2580
- Fax
- (215) 529-9726
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dean W Evans
- Title
- President
- Phone
- (610) 954-6048
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000062 | PA | Part B Supplier - Clinic/Group Practice | 6709798333 |
Receives reassigned benefits from 3,523 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Upper Bucks Emergency M
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | PA | Yes |
Addresses
Primary practice location
401 W Broad St
Quakertown, PA 18951-1264
Mailing address
801 Ostrum St
Enrollment Center
Bethlehem, PA 18015-1000
Phone (610) 954-6048
Other names
- ST. LUKE'S QUAKERTOWN FAMILY PRACTICE
Other providers in Quakertown, PA
- 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 Quakertoen Hospital
- St. Luke'S Quakertown Hospital
- St. Luke'S Quakertown Hospital
- St. Luke'S Quakertown Hospital
All providers in Quakertown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.