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 Primary Care Smithfield

Practice address

125 Smithfield LN
East Stroudsburg, PA 18301-8704

Phone

(272) 212-3872

NPI assigned

Jun 4, 2012

Last updated

May 4, 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 Chivaaroli

Title

Manager

Phone

(484) 526-3569

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Primary Care Smithfield 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

Locations

Practitioners 12

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.

• Muriel Anyango, CRNP

  • Nurse Practitioner
  • Center Valley, PA
  • NPI 1932932423
  NPD
• Neal J Berkowitz, MD

  • Family Medicine Physician
  • Fogelsville, PA
  • NPI 1356374193
  NPD
• Bruce Craig Davis, M.D.

  • Family Medicine Physician
  • Stroudsburg, PA
  • NPI 1609825926
  NPD
• Douglas A Degler, MD

  • Internal Medicine Physician
  • East Stroudsburg, PA
  • NPI 1760432520
  NPD
• Vanessa Eiswerth, D.O.

  • Family Medicine Physician
  • Easton, PA
  • NPI 1124291034
  NPD
• Steven E Gold, MD

  • Internal Medicine Physician
  • East Stroudsburg, PA
  • NPI 1447200100
  NPD
• Kaushik Kundu, M.D.

  • Internal Medicine Physician
  • Fountain Hill, PA
  • NPI 1942259577
  NPD
• Petronellah Mazorodze, DNP

  • Nurse Practitioner
  • East Stroudsburg, PA
  • NPI 1407563729
  NPD
• Michael Carlo Nilo, MD

  • Internal Medicine Physician
  • East Stroudsburg, PA
  • NPI 1184202681
  NPD
• Hugh Joseph Prentice, DO

  • Family Medicine Physician
  • Easton, PA
  • NPI 1578095089
  NPD
• Rebecca Stewart Priblo, BSN, RN, CRNP

  • Primary Care Nurse Practitioner
  • Center Valley, PA
  • NPI 1982472205
  NPD
• Cathy Nicole Richards, DO

  • Family Medicine Physician
  • Pocono Summit, PA
  • NPI 1962995506
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1952662272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013005",
            "telephone_number": "570-421-3872",
            "fax_number": "570-424-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SMITHFIELD LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018704",
            "telephone_number": "272-212-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "CHIVAAROLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-526-3569"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Primary Care Smithfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Physician Group (St. Luke's Zahra Pediatrics)
• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Medical Associates of Monroe County - Specialists)
• St. Luke's Physician Group, Inc. (Medical Associates Of The Pocono Mountains)
• Kimberly Melissa Stambaugh, PHARM.D.
• Sonya Stamper-Woods
• Carol Stanek, CRNP
• Andrew Steele, M.D.
• Erik Steffens

• Internal Medicine Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, 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 May 4, 2023; 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.