ST. LUKE'S MINER'S PHYSICIAN ASSISTANTS
NPI 1164726733
Physician Assistant in Coaldale, PA
About St. Luke's Miner's Physician Assistants NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. LUKE'S MINER'S PHYSICIAN ASSISTANTS (NPI 1164726733) is a healthcare organization registered as a physician assistant in Coaldale, Pennsylvania and active in the NPI registry since December 2010. The organization lists Thomas Lichtenwalner, Senior Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Luke's Miner's Physician Assistants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
145Medicare enrollment records show 145 clinicians reassign Medicare billing to St. Luke's Miner's Physician Assistants, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 145Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carbon-Schuylkill Community Hospital, Inc.'s NPI number?
The NPI number for Carbon-Schuylkill Community Hospital, Inc. is 1164726733. It was assigned to this organization in the NPPES registry on December 22, 2010. The provider is doing business as St. Luke's Miner's Physician Assistants.
Where is Carbon-Schuylkill Community Hospital, Inc. located?
Carbon-Schuylkill Community Hospital, Inc. is located at 360 W Ruddle St, Coaldale, PA 18218. The listed phone number is (570) 645-2131.
What is Carbon-Schuylkill Community Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carbon-Schuylkill Community Hospital, Inc. enrolled in Medicare?
Yes. Carbon-Schuylkill Community Hospital, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carbon-Schuylkill Community Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 11 Medicare specialties reassign their Medicare billing to Carbon-Schuylkill Community Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (65), Family Practice (42) and Emergency Medicine (22). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carbon-Schuylkill Community Hospital, Inc. was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# St. Luke's Miner's Physician Assistants · NPI 1164726733
Physician Assistant organization in Coaldale, Pennsylvania. Organization record, active in the CMS NPPES registry since December 22, 2010.
## Identity
- **NPI:** 1164726733 (Entity type: Organization)
- **Enumerated:** December 22, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Legal business name:** Carbon-Schuylkill Community Hospital, Inc.
- **Organization subpart:** No
- **Authorized official:** Thomas Lichtenwalner, SENIOR VICE PRESIDENT
## Practice location
- **Address:** 360 W RUDDLE ST, Coaldale, PA 18218-1027
- **Phone:** (570) 645-2131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 145 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Family Practice (42), Emergency Medicine (22); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1164726733/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2010
- **Other identifiers:** Medicare PIN 178775 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164726733) · Data from the CMS NPPES public registry.