ST. LUKE'S PHYSICIAN GROUP INC NPI 1164563029

NPI Information

  • NPI: 1164563029
  • Provider Name: ST. LUKE'S PHYSICIAN GROUP INC
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Organization
  • Doing Business As: ST. LUKE'S PEDIATRIC SURGERY
  • Address: 153 BRODHEAD RD
    BETHLEHEM, PA
    ZIP 18017
  • Phone: (610) 954-4975

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NPI Details

ST. LUKE'S PHYSICIAN GROUP INC is a pediatric surgery surgery in Bethlehem, PA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. ST. LUKE'S PHYSICIAN GROUP INC NPI is 1164563029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Luke's Pediatric Surgery.

The provider's business location address is:

153 BRODHEAD RD
BETHLEHEM, PA
ZIP 18017-931
Phone: (610) 954-4975
Fax: (610) 954-6485

The provider's authorized official is Dean W Evans .
The authorized official title is President and has the following contact phone number (691) 954-4991.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

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
12086S0120XSurgeryPediatric SurgeryPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PEDIATRIC SURGERYOTHERPENNSYLVANIAPEDIATRIC SURGERY

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: 11/21/2025

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