SOUTH MOUNTAIN FAMILY PRACTICE - NPI 1700984622 - Family Medicine in Bethlehem, PA

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

The NPI number for St. Luke's Physician Group, Inc. is 1700984622. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as South Mountain Family Practice.

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 South Mountain Family Practice NPPES

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

SOUTH MOUNTAIN FAMILY PRACTICE (NPI 1700984622) is a healthcare organization registered as a family medicine in Bethlehem, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through July 16, 2028 and lists Dean W Evans, President, as its authorized official.

NPPES Registry Identity

NPI1700984622

Entity TypeOrganization

Primary Taxonomy207Q00000X

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

Location Address1545 BROADWAYBethlehem, PA 18015-3901

Mailing Address1545 BroadwayBethlehem, PA 18015-3901 · (610) 865-6112 · Fax (610) 865-3307

Phone(610) 865-6112

Fax(610) 865-3307

Organization SubpartNo

Authorized OfficialDean W EvansPresident · (610) 954-4991

Enumeration DateSeptember 21, 2006

Last NPPES UpdateMay 11, 2010

✔ NPI 1700984622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedAssisted Living FacilityTaxonomy 310400000X

1545 BROADWAY, Bethlehem, PA 18015

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Other Names 1

Doing Business AsSouth Mountain Family Practice

Other Identifiers 1

Medicare PIN812708PA

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0189866

South Mountain Family Practice · Bethlehem, PA

Active · expires Jul 16, 2028

CLIA Number39D0189866

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2026

Certificate Expiration DateJuly 16, 2028

Laboratory DirectorMichael Abgott MD

Laboratory Phone(610) 865-6112

Laboratory LocationSouth Mountain Family Practice1545 Broadway, Bethlehem, PA 18015

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

MARGARET EDGAR CRNP

Nurse Practitioner