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ST. LUKE'S PHYSICIAN GROUP INC. NPI 1316990492


NPI Information

NPI: 1316990492
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.

Doing Business As: BETHLEHEM NEONATAL ASSOCIATES

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015
Phone: (610) 954-4434
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ST. LUKE'S PHYSICIAN GROUP, INC. is a neonatal-perinatal medicine pediatrics in Bethlehem, PA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1316990492. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bethlehem Neonatal Associates.

The provider's business location address is:

801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015-000
Phone: (610) 954-4434
Fax: (610) 954-2349

The provider's authorized official is Dean W. Evans .
The authorized official title is President and has the following contact phone number (610) 954-3383.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 2/25/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007307530134MEDICAIDPENNSYLVANIA

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: 4/28/2024

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