St. Luke's Physician Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC.

Doing business as

Fountain Hill Medical Associates

Practice address

1021 Park Ave
Quakertown, PA 18951-1573

Phone

(215) 538-4713

Fax

(215) 538-4704

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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

Dean W. Evans

Title

President

Phone

(610) 954-3383

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountain Hill Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

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.

• Gregory S Domer, M.D.

  • Vascular Surgery Physician
  • Easton, PA
  • NPI 1003872474
  NPD
• Robert D Reinhart, MD

  • Vascular & Interventional Radiology Physician
  • Easton, PA
  • NPI 1922081025
  NPD
• Jamie L. Thomas, D.O.

  • Vascular & Interventional Radiology Physician
  • Easton, PA
  • NPI 1376569087
  NPD
• Michael Paul Yannes

  • Vascular & Interventional Radiology Physician
  • Bethlehem, PA
  • NPI 1710229968
  NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861556706",
    "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": "610-954-3383",
            "fax_number": "610-954-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PARK AVE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511573",
            "telephone_number": "215-538-4713",
            "fax_number": "215-538-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-954-3383"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007307530170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Hill Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Quakertown Radiology)
• St. Luke's Physician Group, Inc. (St. Luke's Quakertown Primary Care)
• St. Luke's Physician Group, Inc. (St. Luke's Quakertown Pediatrics)
• St. Luke's Physician Group, Inc. (St. Luke's Quakertown Family Practice)
• St. Luke's Quakertoen Hospital
• St. Luke's Quakertown Hospital (Upper Bucks Emergency Medicine)
• St. Luke's Quakertown Hospital (St. Luke's Quakertown Hospital - Pathology)
• St. Luke's Quakertown Hospital (St. Luke's Care Now - Quakertown)
• St. Luke's Quakertown Hospital (St. Luke's Physical Therapy)

• Internal Medicine Physician in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.