Active NPI
St. Luke'S Physician Group, Inc.
- Pediatrics Physician
- Allentown, PA
National Provider Identifier
1922595016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ST. LUKE'S PHYSICIAN GROUP, INC.
- Practice address
- 450 Chew St FL 2
Allentown, PA 18102-3434 - Phone
- (610) 776-4767
- Fax
- (610) 606-4475
- NPI assigned
- Apr 16, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Joseph W Minahan
- Title
- President
- Phone
- (484) 526-6162
National Provider Directory
National Provider Directory- Tax ID family
- Upper Bucks Emergency M
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Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X |
Addresses
NPPES NPI RegistryPrimary practice location
450 Chew St FL 2
Allentown, PA 18102-3434
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6048
Other names 1
NPPES NPI Registry- St. Luke's Sacred Heart Pediatric and Adolescent Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2018.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1922595016",
"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": "484-526-6048",
"fax_number": "833-213-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CHEW ST FL 2",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023434",
"telephone_number": "610-776-4767",
"fax_number": "610-606-4475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "MINAHAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "484-526-6162"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Luke's Sacred Heart Pediatric and Adolescent Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Luke's Sacred Heart Pediatric and Adolescent Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allentown, PA
- 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 Physician Group, Inc.
- St. Luke'S Physicians Group Inc.
- Kenneth Michael Staab, DO
- Katherine Margaret Stabler, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.