ST. LUKE'S PHYSICIAN GROUP, INC
NPI 1497152037
Internal Medicine in Nesquehoning, PA

Active since November 25, 2014CLIA Certified · 2 labs
1114 E CATAWISSA ST, NESQUEHONING, PA 18240(570) 645-1920(866) 263-1962 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. Luke's Physician Group, Inc NPPES

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

ST. LUKE'S PHYSICIAN GROUP, INC (NPI 1497152037) is a healthcare organization registered as an internal medicine in Nesquehoning, Pennsylvania and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Dean W Evans, President, as its authorized official.

NPPES Registry Identity

NPI1497152037
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC
Location Address1114 E CATAWISSA STNesquehoning, PA 18240-1805
Mailing Address1114 E Catawissa StNesquehoning, PA 18240-1805 · (570) 645-1920 · Fax (570) 645-1925
Fax(866) 263-1962
Organization SubpartNo
Authorized OfficialDean W EvansPresident · (484) 526-4991
Enumeration DateNovember 25, 2014
Last NPPES UpdateFebruary 7, 2018
NPI 1497152037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD449942
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.

1114 E CATAWISSA ST, Nesquehoning, PA 18240

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2223109
Facility Type
Physician Office
Certificate Effective Date
May 04, 2025
Certificate Expiration Date
May 03, 2027
Laboratory Director
DR. JOHN F. BOSI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Luke's Physician Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
1114 E CATAWISSA ST
NESQUEHONING, PA 18240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497152037, enumerated as an "organization" on November 25, 2014.

The provider is located at 1114 E CATAWISSA ST NESQUEHONING, PA 18240 and the phone number is (570) 645-1920.

Internal Medicine with taxonomy code 207R00000X.