PENNSYLVANIA PHYSICIAN SERVICES, LLC (NPI# 1184079105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184079105 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA PHYSICIAN SERVICES, LLC |
| Practice Address |
746 Jefferson Ave Scranton PA 18510-1624 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 5703487100 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720423 | Pennsylvania Physician Services, LLC | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2014-08-22 |
| 1497059802 | Pennsylvania Physician Services, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0001 | 2010-12-28 |
| Street Address |
746 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760928 | Christopher J Dressel Jr. | Internal Medicine | 746 Jefferson Ave, Ste 305, Scranton, PA 18510-1639 | 2005-06-14 |
| 1689275356 | Michael Best | Nurse Anesthetist, Certified Registered | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2020-11-07 |
| 1437708633 | Jennifer Ann Kalinowski | Nurse Practitioner | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2019-09-10 |
| 1285132910 | Cecelia Adcroft | Registered Nurse | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2018-01-29 |
| 1124568936 | Denise Ludwikowski | Pharmacist | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2017-02-27 |
| 1801336615 | Sharon Golden | Pharmacist | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2017-02-27 |
| 1780129973 | Allied Health Care Services | Skilled Nursing Facility | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2016-12-27 |
| 1114387735 | Advanced Inpatient Medicine-ltac PC | Hospitalist | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2016-02-24 |
| 1134591084 | Scarlet Oak Emergency Physicians, LLC | Physician Assistant | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2015-10-30 |
| 1487021283 | Nicole Stombaugh | Nurse Practitioner | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2015-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396290433 | Wyoming Emergency Services, LLC | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2016-08-18 |
| 1386024982 | Temitope Margaret Dube | Emergency Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2015-06-09 |
| 1154720423 | Pennsylvania Physician Services, LLC | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2014-08-22 |
| 1437560828 | Robert Cosmo Gesumaria | Emergency Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-05-19 |
| 1356640163 | Scranton Emergency Physician Services LLC | Emergency Medicine | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2011-03-18 |
| 1992001176 | Emergency Services PC | Emergency Medicine | 700 Quincy Ave, Mth Ed, Scranton, PA 18510-1724 | 2011-02-04 |
| 1467609909 | Renato B Sebastian | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2008-08-27 |
| 1710149885 | Amanda C Rodski | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2008-06-30 |
| 1053519017 | Tyler Greenberg | Emergency Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2007-07-10 |
| 1871667683 | Moses Taylor Hospital | Emergency Medicine | 700 Quincy Ave, Scranton, PA 18510-1724 | 2006-11-20 |
| Find all providers in SCRANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.