ST. LUKE'S PHYSICIAN GROUP INC. NPI 1629024427

NPI Information

  • NPI: 1629024427
  • Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Doing Business As: ST. LUKE'S NEUROSURGICAL ASSOCIATES
  • Address: 701 OSTRUM ST
    SUITE 302
    FOUNTAIN HILL, PA
    ZIP 18015
  • Phone: (484) 526-6000

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NPI Details

ST. LUKE'S PHYSICIAN GROUP, INC. is a neurological surgery in Fountain Hill, PA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1629024427. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Neurosurgical Associates.

The provider's business location address is:

701 OSTRUM ST
SUITE 302
FOUNTAIN HILL, PA
ZIP 18015-155
Phone: (484) 526-6000
Fax: (484) 526-9410

The provider's authorized official is Dean Evans .
The authorized official title is President and has the following contact phone number (610) 954-4991.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/6/2021.

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
12085N0700XRadiologyNeuroradiologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
3207T00000XNeurological SurgeryYes

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
11007307530101MEDICAIDPENNSYLVANIA

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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