St. Luke's Physician Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. LUKE'S PHYSICIAN GROUP, INC

Doing business as

St. Luke's Care ANYWHERE

Practice address

801 Ostrum St
Bethlehem, PA 18015-1000

Phone

(484) 426-2501

Fax

(484) 426-2551

NPI assigned

Oct 19, 2015

Last updated

Jul 20, 2023By 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

Susan Chiavaroli

Title

Manager

Phone

(484) 526-3569

Specialties & licenses 2

Addresses

Other names 1

• St. Luke's Care ANYWHERE Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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.

• Laura Bealer, CRNP

  • Nurse Practitioner
  • Allentown, PA
  • NPI 1366184889
  NPD
• Ella Hasson

  • Physician Assistant
  • Jim Thorpe, PA
  • NPI 1891661310

  Family Medicine

  NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1922479831",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-426-2501",
            "fax_number": "484-426-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "CHIAVAROLI",
        "authorized_official_first_name": "SUSAN",
        "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": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Care ANYWHERE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Care ANYWHERE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Pediatric Neurology)
• St. Luke's Physician Group, Inc. (St. Luke's Pediatric Allergy Specialists)
• St. Luke's Physician Group, Inc. (St. Luke's Trauma Associates)
• St. Luke's Physician Group, Inc. (St. Luke's Palliative Care Group)
• St. Luke's Physician Group, Inc. (South Bethlehem Family Practice)

• Family Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.