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WHITEHALL PRIMARY CARE ST. LUKE'S SACRED HEART
NPI 1023505294
Internal Medicine in Whitehall, PA

Active since April 13, 2018CLIA 39D1055350 · Waiver
2416 3RD AVENUE, WHITEHALL, PA 18052(610) 264-2188(610) 262-3391 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2018, Apr 13, 2018 (2 updates tracked since 2018).

About Whitehall Primary Care St. Luke's Sacred Heart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITEHALL PRIMARY CARE ST. LUKE'S SACRED HEART (NPI 1023505294) is a healthcare organization registered as an internal medicine in Whitehall, Pennsylvania and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Joseph W Minahan, President, as its authorized official.

NPPES Registry Identity

NPI1023505294
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC.
Location Address2416 3RD AVENUEWhitehall, PA 18052
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-6048 · Fax (833) 213-6428
Phone(610) 264-2188
Fax(610) 262-3391
Organization SubpartNo
Authorized OfficialJoseph W MinahanPresident · (484) 526-6162
Enumeration DateApril 13, 2018
Last NPPES UpdateMay 15, 20182 updates tracked since enumeration
✔ NPI 1023505294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2416 3RD AVENUE, Whitehall, PA 18052
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Other Names 1

Doing Business AsWhitehall Primary Care St. Luke's Sacred Heart

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1055350

Whitehall Primary Care · Whitehall, PA
Active · expires Jun 14, 2028
CLIA Number39D1055350
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorSami Moussa MD
Laboratory Phone(610) 264-2188
Laboratory LocationWhitehall Primary Care2416 Third Street, Whitehall, PA 18052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Luke's Physician Group, Inc.'s NPI number?

The NPI number for St. Luke's Physician Group, Inc. is 1023505294. It was assigned to this organization in the NPPES registry on April 13, 2018. The provider is doing business as Whitehall Primary Care St. Luke's Sacred Heart.

Where is St. Luke's Physician Group, Inc. located?

St. Luke's Physician Group, Inc. is located at 2416 3rd Avenue, Whitehall, PA 18052. The listed phone number is (610) 264-2188.

What is St. Luke's Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Luke's Physician Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1055350) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Luke's Physician Group, Inc. was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.