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ST. LUKE'S HAZLETON PRIMARY CARE
NPI 1841936051
Family Medicine in Hazle Township, PA

Active since May 10, 2022CLIA 39D2269290 · Waiver
1097 N CHURCH ST, HAZLE TOWNSHIP, PA 18202(484) 526-4000(833) 213-6428 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Luke's Hazleton Primary Care NPPES

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

ST. LUKE'S HAZLETON PRIMARY CARE (NPI 1841936051) is a healthcare organization registered as a family medicine in Hazle Township, Pennsylvania and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Joseph Minahan, President, as its authorized official.

NPPES Registry Identity

NPI1841936051
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC
Location Address1097 N CHURCH STHazle Township, PA 18202-1465
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-6048 · Fax (833) 213-6428
Phone(484) 526-4000
Fax(833) 213-6428
Organization SubpartNo
Authorized OfficialJoseph MinahanPresident · (484) 526-6162
Enumeration DateMay 10, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1841936051 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.
1097 N CHURCH ST, Hazle Township, PA 18202
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Other Names 1

Doing Business AsSt. Luke's Hazleton 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

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 39D2269290

St Luke's Hazleton Primary Care · Hazleton, PA
Active · expires Sep 22, 2026
CLIA Number39D2269290
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Ileana J. Perez-Figueroa
Laboratory Phone(272) 639-5800
Laboratory LocationSt Luke's Hazleton Primary Care1097 N Church St, Hazleton, PA 18202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ALVIN SOTO-SOTO MD
Family Medicine
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (272) 639-5800
FALVELLO ORTHOPEDICS
Orthopaedic Surgery
1097 N CHURCH ST
HAZLETON, PA 18202
Luzerne County (610) 861-8080
DR. RICHARD CLAYTON MILLER M.D.
Obstetrics & Gynecology
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (610) 861-8080
TANYA M HRICIK CRNP
Nurse Practitioner
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (272) 639-5650
STEVEN CLEMSON DPT
Physical Therapist
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (272) 639-5085
ANTHONY JOHN CANTARELLA PA
Physician Assistant
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (272) 639-5650
MR. MICHAEL KENNETH GORSKI PA-C
Physician Assistant
1097 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Luzerne County (272) 639-5800

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 1841936051. It was assigned to this organization in the NPPES registry on May 10, 2022. The provider is doing business as St. Luke's Hazleton Primary Care.

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

St. Luke's Physician Group, Inc is located at 1097 N Church St, Hazle Township, PA 18202. The listed phone number is (484) 526-4000.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2269290) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Luke's Physician Group, Inc was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.