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ST. LUKE'S FAMILY PRACTICE AT WALNUTPORT
NPI 1992801898
Family Medicine in Walnutport, PA

Active since September 16, 2006CLIA 39D0965236 · Microscopy
330 N BEST AVE, WALNUTPORT, PA 18088(610) 760-8080(610) 760-8148 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Luke's Family Practice At Walnutport NPPES

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

ST. LUKE'S FAMILY PRACTICE AT WALNUTPORT (NPI 1992801898) is a healthcare organization registered as a family medicine in Walnutport, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through September 14, 2027 and lists Dean W Evans, President, as its authorized official.

NPPES Registry Identity

NPI1992801898
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. LUKE'S PHYSICIAN GROUP, INC.
Location Address330 N BEST AVEWalnutport, PA 18088-1205
Mailing Address623 E Broad St, 2nd FlrBethlehem, PA 18018-6332 · (610) 954-6048 · Fax (610) 954-3189
Phone(610) 760-8080
Fax(610) 760-8148
Organization SubpartNo
Authorized OfficialDean W EvansPresident · (610) 954-4991
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 16, 2010
✔ NPI 1992801898 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.
330 N BEST AVE, Walnutport, PA 18088
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Other Names 1

Doing Business AsSt. Luke's Family Practice At Walnutport

Other Identifiers 2

Medicaid1007307530259PA
Medicare ID-Type Unspecified034083PA · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 39D0965236

St Luke's Family Practice At Walnutport · Walnutport, PA
Active · expires Sep 14, 2027
CLIA Number39D0965236
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Colleen E. Manzella
Laboratory Phone(610) 760-8080
Laboratory LocationSt Luke's Family Practice At Walnutport330 North Best Avenue Suite A, Walnutport, PA 18088
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 3

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

LISA JILL DOHERTY DO
Family Medicine
330 N BEST AVE
WALNUTPORT, PA 18088
Northampton County (610) 760-8080
ANNE MARIE MEYERS
Physician Assistant (Medical)
330 N BEST AVE
WALNUTPORT, PA 18088
Northampton County (610) 628-8922
COLLEEN MANZELLA DO
Family Medicine
330 N BEST AVE
WALNUTPORT, PA 18088
Northampton County (610) 760-8080

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 1992801898. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as St. Luke's Family Practice At Walnutport.

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

St. Luke's Physician Group, Inc. is located at 330 N Best Ave, Walnutport, PA 18088. The listed phone number is (610) 760-8080.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 39D0965236) is associated with this NPI, valid through September 14, 2027. 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 April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.