Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Critical Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2222
(866) 829-9836
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2200
(866) 829-9836
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034134
MEDICARE
PA
05
—
1007307530297
—
PA
Enumeration date
07/19/2006
Last updated
08/25/2021
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