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Contact Information

ST. LUKE'S PHYSICIAN GROUP, INC.
801 OSTRUM ST
PPHP, 2ND FLOOR
FOUNTAIN HILL, PA18015-1000
 Phone: 484-526-1735
 Fax: 484-526-2429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ST. LUKE'S PHYSICIAN GROUP, INC.

NPI # 1144249251
LBN Legal business name ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official DEAN EVANS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 11/08/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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