GEISINGER ST. LUKE'S POTTSVILLE PRIMARY CARE
NPI 1124772769
Family Medicine in Pottsville, PA

Active since February 11, 2022CLIA Certified · 2 labs
2650 WOODGLEN RD, POTTSVILLE, PA 17901(484) 526-6048 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2022, Feb 11, 2022 (2 updates tracked since 2022).

About Geisinger St. Luke's Pottsville Primary Care NPPES

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

GEISINGER ST. LUKE'S POTTSVILLE PRIMARY CARE (NPI 1124772769) is a healthcare organization registered as a family medicine in Pottsville, Pennsylvania and active in the NPI registry since February 2022. The organization holds 2 active CLIA laboratory certificates and lists Joseph Minahan, President, as its authorized official.

NPPES Registry Identity

NPI1124772769
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC.
Location Address2650 WOODGLEN RDPottsville, PA 17901-1335
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-6048 · Fax (833) 213-6428
Organization SubpartNo
Authorized OfficialJoseph MinahanPresident · (484) 526-6048
Enumeration DateFebruary 11, 2022
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
NPI 1124772769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2650 WOODGLEN RD, Pottsville, PA 17901

Other Names 1

Doing Business AsGeisinger St. Luke's Pottsville Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 39D2264637

Geisinger St Luke's Pottsville Primary Care · Pottsville, PA
Active · expires Jul 17, 2028
CLIA Number39D2264637
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Michaela Ortiz
Laboratory Phone(272) 639-5755
Laboratory LocationGeisinger St Luke's Pottsville Primary Care2650 Woodglen Road Suite 300, Pottsville, PA 17901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2267776

Geisinger St Luke's Care Now-Pottsville · Pottsville, PA
Active · expires Aug 30, 2026
CLIA Number39D2267776
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorDr. Robert G. Stratton
Laboratory Phone(484) 426-2513
Laboratory LocationGeisinger St Luke's Care Now-Pottsville2650 Woodglen Road Suite 100, Pottsville, PA 17901
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Surgery
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Clinic/Center (Urgent Care)
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Nurse Practitioner
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Family Medicine
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Nurse Practitioner
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Nurse Practitioner (Family)
2650 WOODGLEN RD
POTTSVILLE, PA 17901
Nurse Practitioner
2650 WOODGLEN RD
POTTSVILLE, PA 17901

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 1124772769. It was assigned to this organization in the NPPES registry on February 11, 2022. The provider is doing business as Geisinger St. Luke's Pottsville Primary Care.

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

St. Luke's Physician Group, Inc. is located at 2650 Woodglen Rd, Pottsville, PA 17901. The listed phone number is (484) 526-6048.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St. Luke's Physician Group, Inc. was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.