ST. LUKE'S PRIMARY CARE - POCONO SUMMIT - NPI 1144994740 - Family Medicine in Pocono Summit, PA

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

The NPI number for St. Luke's Physician Group, Inc. is 1144994740. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as St. Luke's Primary Care - Pocono Summit.

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

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

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About St. Luke's Primary Care - Pocono Summit NPPES

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

ST. LUKE'S PRIMARY CARE - POCONO SUMMIT (NPI 1144994740) is a healthcare organization registered as a family medicine in Pocono Summit, Pennsylvania and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Joseph Minahan, President, as its authorized official.

NPPES Registry Identity

NPI1144994740

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC.

Location Address174 HARVEST LNPocono Summit, PA 18346-7761

Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-4000 · Fax (833) 213-6428

Phone(272) 639-5415

Fax(272) 639-5431

Organization SubpartNo

Authorized OfficialJoseph MinahanPresident · (484) 526-6048

Enumeration DateAugust 6, 2021

Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1144994740 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.

174 HARVEST LN, Pocono Summit, PA 18346

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Other Names 1

Doing Business AsSt. Luke's Primary Care - Pocono Summit

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

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 39D2254671

St Lukes Primary Care Pocono Summit · Pocono Summit, PA

Active · expires Mar 6, 2028

CLIA Number39D2254671

Laboratory TypePhysician Office

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorDr. John W. Brinker

Laboratory Phone(272) 639-5411

Laboratory LocationSt Lukes Primary Care Pocono Summit174 Harvest Lane, Pocono Summit, PA 18346

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 9

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

ST. LUKE'S HOSPITAL MONROE CAMPUS

Clinic/Center (Urgent Care)