MAIN STREET PEDIATRICS OF GREATER SCRANTON (NPI# 1881253011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881253011 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PEDIATRICS OF GREATER SCRANTON |
| Practice Address |
247 Main St # Pa Dickson City PA 18519-1641 |
| Practice Telephone | 5702914180 |
| Practice Fax Number | 5705863953 |
| Mailing Telephone | 5702914180 |
| Mailing Fax Number | 5705863953 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MS. ANNIE MCDONOUGH (OFFICE MGR.) |
| Authorized Official Telephone | 5702914180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011992910003 | 05 |
| Street Address |
247 MAIN ST # PA |
| City | DICKSON CITY |
| State | PA |
| Zip Code | 18519-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591860 | Jennifer Lynn Aniska | Counselor | 851 Commerce Blvd Suite 107, Dickson City, PA 18519 | 2019-08-01 |
| 1164076311 | Melissa Saxon-price | Counselor | The Aaron Center, 851 Commerce Boulevard Suite 107, Dickson City, PA 18519 | 2019-07-26 |
| 1447778808 | Lori Ann Villano | Social Worker | 650 Boulevard Avenue, Dickson City, PA 18519 | 2017-09-06 |
| 1487030854 | Patricia Ann King | Speech-Language Pathologist | 851 Commerce Blvd #107, The Aaron Center, Dickson City, PA 18519 | 2015-08-07 |
| 1710245972 | Rabel Furniture Inc. | Durable Medical Equipment & Medical Supplies | 1330 Main St, Dickson City, PA 18519 | 2012-04-25 |
| 1942345566 | Vincent Paul Bakey | Optometrist | 1059 Main St, Dickson City, PA 18519 | 2007-02-21 |
| 1669540340 | J Donald Kazmerski | Chiropractor | Kazmerski Chiropractic 1100 Main St, Dickson City, PA 18519 | 2006-12-01 |
| 1902978174 | Sheila C Carluccio | Psychologist | 123 Huntington Dr, Dickson City, PA 18519 | 2006-11-14 |
| 1750477444 | Keystone Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 334 Main Street, Suite 2, Dickson City, PA 18519 | 2006-10-04 |
| 1841306248 | William Michael Umerich | Dentist | 917 Main St, Dickson City, PA 18519 | 2006-08-21 |
| Find all providers in zip 18519 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| 1518059435 | Loreta Myra Matheo | Pediatrics | 3420 5th Avenue, Pittsburgh, PA 15213 | 2006-09-28 |
| Find all providers with the same taxonomy | ||||
| City | DICKSON CITY |
| Zip Code | 18519 |
Please comment or provide details below to improve the information on MAIN STREET PEDIATRICS OF GREATER SCRANTON.
| 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.