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

St. Luke's Northern Valley Primary Care

Practice address

602 E 21St St Ste 400
Northampton, PA 18067-1269

Phone

(484) 526-7275

NPI assigned

Sep 9, 2013

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

Manager

Phone

(484) 526-3569

Specialties & licenses 2

Addresses

Other names 1

• St. Luke's Northern Valley 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 9

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.

• Nazim Jamal Ahmed, MD

  • Family Medicine Physician
  • Bath, PA
  • NPI 1740920891
  NPD
• Kerri D Alex, CRNP

  • Family Nurse Practitioner
  • Whitehall, PA
  • NPI 1043665185
  NPD
• Maria L Figueras, MD

  • Internal Medicine Physician
  • Easton, PA
  • NPI 1942408190
  NPD
• Gloria T Fioravanti, DO

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1144328709
  NPD
• Jessica Heffelfinger

  • Nurse Practitioner
  • Hamburg, PA
  • NPI 1851763643
  NPD
• Bronson Z Shetayh, MD

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1962994624
  NPD
• Iqbal Sorathia, MD

  • Internal Medicine Physician
  • Northampton, PA
  • NPI 1356341812
  NPD
• Michael W Spence, DO

  • Internal Medicine Physician
  • East Stroudsburg, PA
  • NPI 1871537407
  NPD
• Tuesday Trudel, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
  • NPI 1518489343
  NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1891120879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "ENROLLMENT CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6048",
            "fax_number": "484-526-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 21ST ST STE 400",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671269",
            "telephone_number": "484-526-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Northern Valley Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin R Snyder, MA, ATR-BC, LPC
• Nicole Somers, PAC
• Iqbal Sorathia, MD
• Yarylis Michelle Soto
• Amy Spellman, LCSW, LISW
• St. Luke's Physician Group, Inc. (Northampton Medical Associates St. Luke's Sacred Heart)
• St. Luke's Physician Group, Inc. (St. Luke's Psychiatric Associates - NASD)
• Steady Life LLC
• McKayla Strohl
• Junaid Sultan, MD

• Internal Medicine Physician in Northampton, PA
• Providers in Northampton, 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 Oct 13, 2022; 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.