Organization Active NPI

St. Luke's Ambulatory Services Inc.

Doing business as St. Luke's Endoscopy Center- Buxmont

  • Endoscopy Clinic/Center
  • Sellersville, PA
National Provider Identifier
1881862670
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
ST. LUKE'S AMBULATORY SERVICES INC.
Doing business as
St. Luke's Endoscopy Center- Buxmont
Practice address
1107 Bethlehem Pike
Sellersville, PA 18960
Phone
(215) 257-3011
Fax
(215) 257-3437
NPI assigned
Feb 14, 2008
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Thomas Lichtenwalner
Title
Senior VP Finance
Phone
(484) 526-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

1107 Bethlehem Pike
Sellersville, PA 18960

Mailing address

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Other names 1

  • St. Luke's Endoscopy Center- Buxmont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190820000694 PA Part B Supplier - Ambulatory Surgical Center 0244568962 1 other NPI on this enrollment
Practice locations: Sellersville, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
St Lukes Endoscopy Center BuxmontCCN 39C0001261
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

20 Community Dr
#C
Easton, PA 18045
Phone (610) 258-6635

1114 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1881862670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-3011",
            "fax_number": "215-257-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S AMBULATORY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "LICHTENWALNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "484-526-3114"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Endoscopy Center- Buxmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.