ST. LUKE'S PHYSICIAN GROUP, INC
NPI 1750683546
Family Medicine in Macungie, PA

NPI Status: Active since November 30, 2010

Contact Information

2550 PA ROUTE 100
SUITE 220
MACUNGIE, PA
ZIP 18062
Phone: (610) 628-7111
Fax: (833) 820-1003

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  • Organization
  • Family Medicine
  • CLIA Number: 39D2161567
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 02-05-2027

About ST. LUKE'S PHYSICIAN GROUP, INC

This page provides the complete NPI Profile along with additional information for St. Luke's Physician Group, Inc, a primary care provider established in Macungie, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750683546 assigned on November 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. St. Luke's Physician Group, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dean Evans (President)

NPI
1750683546
Provider Name
ST. LUKE'S PHYSICIAN GROUP, INC
Entity Type
Organization
Location Address
2550 PA ROUTE 100 SUITE 220 MACUNGIE, PA 18062
Location Phone
(610) 628-7111
Location Fax
(833) 820-1003
Mailing Address
801 OSTRUM ST ENROLLMENT CENTER BETHLEHEM, PA 18015
Mailing Phone
(610) 954-6048
Mailing Fax
(833) 820-1003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2010
Last Update Date
04-08-2019
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A primary care provider (PCP) like St. Luke's Physician Group, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
PA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEAN EVANS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(610) 954-4911

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
39D2161567
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
DR. VIPUL SHARMA
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750683546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100128658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 6 + 5 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750683546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1326428152 FARIBA KHARAZI D.O.
Individual
Family Medicine2550 PA ROUTE 100 SUITE 220
MACUNGIE, PA 18062
(610) 628-7111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750683546, enumerated in the NPI registry as an "organization" on November 30, 2010

The provider is located at 2550 Pa Route 100 Suite 220 Macungie, Pa 18062 and the phone number is (610) 628-7111

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 39D2161567 for a "ancillary testing site in health care center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on November 30, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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