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ST. LUKE'S PHYSICIAN GROUP INC. NPI 1629489562


NPI Information

NPI: 1629489562
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.

Doing Business As: ST. LUKE'S STROUDSBURG INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D2286926

Address:
208 LIFELINE RD
SUITE 203
STROUDSBURG, PA
ZIP 18360
Phone: (484) 526-4999
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ST. LUKE'S PHYSICIAN GROUP, INC. is an internal medicine in Stroudsburg, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1629489562. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Luke's Stroudsburg Internal Medicine.

The provider's business location address is:

208 LIFELINE RD
SUITE 203
STROUDSBURG, PA
ZIP 18360-473
Phone: (484) 526-4999

The provider's authorized official is Dean W Evans .
The authorized official title is President and has the following contact phone number (484) 526-4991.

The CLIA number assigned to this NPI record is 39D2286926 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 5/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMD065140LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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