PENNSYLVANIA PHYSICIAN SERVICES, LLC


Address: 575 N River St, Wilkes Barre, PA 18764-0001
Phone: 5708298111

PENNSYLVANIA PHYSICIAN SERVICES, LLC (NPI# 1497059802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497059802
Entity Type Organization
Organization Name PENNSYLVANIA PHYSICIAN SERVICES, LLC
Practice Address 575 N River St
Wilkes Barre
PA 18764-0001
Mailing Address Po Box 21113
Belfast
ME 04915-4108
Practice Telephone 5708298111
Mailing Telephone 7708745400
Enumeration Date 2010-12-28
Last Update Date 2020-02-05
Authorized Official Name KIM H LARSEN (DIRECTOR OF CREDENTIALING)
Authorized Official Telephone 7708745400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184079105 Pennsylvania Physician Services, LLC Emergency Medicine 746 Jefferson Ave, Scranton, PA 18510-1624 2016-04-27
1154720423 Pennsylvania Physician Services, LLC Emergency Medicine 700 Quincy Ave, Scranton, PA 18510-1724 2014-08-22

Office Location

Street Address 575 N RIVER ST
City WILKES BARRE
State PA
Zip Code 18764-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174528707 Radiology Associates of Wyoming Valley, Inc Radiology 575 N River St, Wilkes Barre, PA 18764-0999 2005-06-20
1811511108 Wilkes-barre Hospital Company LLC Medicare Defined Swing Bed Unit 575 N River St, Wilkes Barre, PA 18764-0999 2020-06-02
1790311645 Michael L. Yucha Jr. Physician Assistant 575 N River St, Wilkes Barre, PA 18702-2634 2020-03-22
1508405739 Leah Alexandra Merrick Physician Assistant 575 N River St, Wilkes Barre, PA 18702-2634 2020-01-06
1639667942 Michael P Mcdaniel Physician Assistant 575 N River St, Wilkes Barre, PA 18764-0999 2018-04-23
1427577816 Lindsay Marie Brown Pharmacist 575 N River St, Wilkes Barre, PA 18764-1902 2017-09-17
1417486572 Ryan Seltzer Nurse Practitioner 575 N River St, Wilkes Barre, PA 18764-5628 2017-06-12
1790216067 Carolina Favero Braga Family Medicine 575 N River St, Wilkes Barre, PA 18764-2008 2017-03-27
1558816694 Wyoming Emergency Services, LLC Emergency Medicine 575 N River St, Wilkes Barre, PA 18764-0999 2016-08-18
1740734979 Poconos Emergency Group, LLC Emergency Medicine 575 N River St, Wilkes Barre, PA 18764-0001 2016-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134618259 Alycia Saini Family Medicine 575 N River St., Wilkes-barre, PA 18764 2018-05-03
1265416564 Linda B Wilk Nurse Anesthetist, Certified Registered 575 North River St, Wilkes-barre, PA 18764 2005-12-01
1356830400 Aarun Chand Saini Family Medicine 575 N River St., Wilkes-barre, PA 18764 2018-05-04
1144316985 Nicholas D Giordano Internal Medicine 575 North River Street, Wilkes-barre, PA 18764 2006-10-05
1598771313 Susan M Thibeault Nurse Anesthetist, Certified Registered 326 Washington Street, Norwich, CT 18764 2006-08-01
1134638943 George Ritz IIi Physician Assistant 575 N River Street Emergency Department, Wilkes Barre, PA 18764-0001 2017-09-25
1578528410 Mark M. Radziewicz Family Medicine Wilkes Barre Geneal Hospital, 575 N. River Street, Wilkes Barre, PA 18764-0001 2006-04-20
1164832614 Virginie Auguste Hospitalist 575 North River Street, Wilkes Barre, PA 18764-1851 2014-05-06

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518256080 Medexpress Urgent Care, PC-pennsylvania Emergency Medicine 677d Kidder St, Wilkes Barre, PA 18702-6908 2011-04-05
1285661306 Shawn Gerald Clark Emergency Medicine 1000 East Mountain Drive, Geisinger Medical Center, Mc 34-20, Wilkes Barre, PA 18711 2006-06-26
1598308777 Corey Scott Rossi Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-10-21
1639724669 Alexis Maria Makowiec Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2019-08-06
1558816694 Wyoming Emergency Services, LLC Emergency Medicine 575 N River St, Wilkes Barre, PA 18764-0999 2016-08-18
1740734979 Poconos Emergency Group, LLC Emergency Medicine 575 N River St, Wilkes Barre, PA 18764-0001 2016-08-04
1962866046 Vincent Giannotti Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-04-05
1528427473 Zia Rehman Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-02-21
1386026219 Keith D. Willner Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711 2015-06-27
1780070011 Sheel Mehta Emergency Medicine 1000 E Mountain Blvd, Wilkes Barre, PA 18711 2015-04-14
Find all providers in WILKES BARRE

Competitor

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City WILKES BARRE
Zip Code 18764

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Dataset Information

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.

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