St. Luke'S Physician Group Inc in Bethlehem - Pediatric Surgery
St. Luke'S Physician Group Inc - NPI 1164563029
St. Luke'S Physician Group Inc is a Pediatric Surgery in Bethlehem, Pennsylvania. St. Luke'S Physician Group Inc practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for St. Luke'S Physician Group Inc is 1164563029. The last update date is 2020-08-22.
St. Luke'S Physician Group Inc's current location address is 623 E Broad St, Bethlehem, Pennsylvania. You can contact this provider via phone number 6109546048 and fax number 6109543189. The mailing address for St. Luke'S Physician Group Inc is 623 E Broad St, Bethlehem, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Luke'S Physician Group Inc |
|---|---|
| Address | 623 E Broad St, Bethlehem, Pennsylvania |
| Phone Number | 6109546048 |
| Fax Number | 6109543189 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Evans W Dean |
| Telephone Number | 6919544991 |
NPI Number Detail
| NPI Number | 1164563029 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 623 E Broad St |
|---|---|
| City | Bethlehem |
| State | Pennsylvania (PA) |
| Post Code | 180186332 |
| Phone Number | 6109546048 |
| Fax Number | 6109543189 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PEDIATRIC SURGE | PA | PEDIATRIC SURGERY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. Luke'S Physician Group Inc by the Centers for Medicare & Medicaid Services?
The St. Luke'S Physician Group Inc has been issued the NPI (National Provider Identifier) 1164563029, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where St. Luke'S Physician Group Inc's facilities are geographically located?
The facilities of St. Luke'S Physician Group Inc are physically situated at the following location: 623 E Broad St, Bethlehem, PA, 180186332.
What is the area of specialization for St. Luke'S Physician Group Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St. Luke'S Physician Group Inc is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
On what date did St. Luke'S Physician Group Inc receive its 1164563029 assignment from the Centers for Medicare & Medicaid Services?
The St. Luke'S Physician Group Inc was assigned its 1164563029 on 2007-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to St. Luke'S Physician Group Inc most recently updated or refreshed?
The details pertaining to the St. Luke'S Physician Group Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.