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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Buxmont
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Sellersville, PA
- NPI 1255359055
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
- Debra A Springer
- Kellyann Springer, BA
- St Luke's Physician Group Inc (St. Luke's General Surgery Sellersville)
- St Luke's Physician Group Inc (St. Luke's Sellersville Primary Care)
- St Luke's Physician Group, Inc (St. Luke's Pennridge Pediatrics)
- St. Luke's Hospital Grand View Campus
- St. Luke's Hospital Grand View Campus
- St. Luke's Physician Group Inc. (St. Luke's Buxmont Gastroenterology Specialists)
- St. Luke's Physician Group, Inc. (St. Luke's OB/GYN Stoneridge)
- Sara B St.Onge, B.A.
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.