Scranton Primary Health Care Center, Inc. | |
959 Wyoming Ave Scranton PA 18509-3023 | |
(570) 344-3517 | |
(570) 344-6839 |
Full Name | Scranton Primary Health Care Center, Inc. |
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Speciality | Clinic/Center |
Location | 959 Wyoming Ave, Scranton, Pennsylvania |
Authorized Official Name and Position | Joseph H Hollander (CEO) |
Authorized Official Contact | 5703443517 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scranton Primary Health Care Center, Inc. 959 Wyoming Ave. Scranton PA 18509-3023 Ph: (570) 344-3517 | Scranton Primary Health Care Center, Inc. 959 Wyoming Ave Scranton PA 18509-3023 Ph: (570) 344-3517 |
NPI Number | 1801871579 |
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Provider Enumeration Date | 12/14/2005 |
Last Update Date | 10/01/2020 |
Medicare PECOS PAC ID | 0941206650 |
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Medicare Enrollment ID | O20061019000363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801871579 | NPI | - | NPPES |
1007288710003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Luiz Felipe Galvao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225081706 PECOS PAC ID: 6800861212 Enrollment ID: I20040830000596 |
Provider Name | Amy M Schoonover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285691444 PECOS PAC ID: 4688638109 Enrollment ID: I20041124000173 |
Provider Name | Shubhra M Shetty |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649264532 PECOS PAC ID: 5890791420 Enrollment ID: I20061004000568 |
Provider Name | Elaine Richards-hercher |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1568448835 PECOS PAC ID: 4183620800 Enrollment ID: I20061019000400 |
Provider Name | Wasique M Mirza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851376826 PECOS PAC ID: 9234136391 Enrollment ID: I20061102000239 |
Provider Name | Kimberly A Barilla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346340064 PECOS PAC ID: 1052490794 Enrollment ID: I20080506000431 |
Provider Name | Dana M Montgomery |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033326772 PECOS PAC ID: 6709945025 Enrollment ID: I20081031000298 |
Provider Name | Carole L Willson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346473030 PECOS PAC ID: 1355470824 Enrollment ID: I20100520000726 |
Provider Name | Christine A Burke |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174513287 PECOS PAC ID: 3971816158 Enrollment ID: I20150716002147 |
Provider Name | William P Yeomans |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1376755355 PECOS PAC ID: 4880995166 Enrollment ID: I20151209002860 |
Provider Name | Archana Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407295439 PECOS PAC ID: 7416258165 Enrollment ID: I20161025002856 |
Provider Name | Krysten Nicole Duliba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649726043 PECOS PAC ID: 2961782255 Enrollment ID: I20161202000144 |
Provider Name | Janice N John-lewis |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992966626 PECOS PAC ID: 8224259858 Enrollment ID: I20170530000957 |
Provider Name | Ryan C Dell'aglio |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1699110775 PECOS PAC ID: 0941503627 Enrollment ID: I20170608000342 |
Provider Name | Maria J Tacelosky |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1639292360 PECOS PAC ID: 6103146147 Enrollment ID: I20181030001905 |
Provider Name | John R Mcguire |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1366852238 PECOS PAC ID: 1456656974 Enrollment ID: I20190321000120 |
Provider Name | Lisa Black-lafferty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366914657 PECOS PAC ID: 1456692037 Enrollment ID: I20190409000100 |
Provider Name | Michael Madden |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306209002 PECOS PAC ID: 0143516401 Enrollment ID: I20190930001600 |
Provider Name | Kari A Myder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801411475 PECOS PAC ID: 9739591199 Enrollment ID: I20201209002293 |
Provider Name | Aiman Aslam |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1568925428 PECOS PAC ID: 3971903287 Enrollment ID: I20210608002055 |
Provider Name | Elise M Stavish |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740956044 PECOS PAC ID: 6002208071 Enrollment ID: I20220125001315 |
Provider Name | Heidi Mosher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154080331 PECOS PAC ID: 7012303894 Enrollment ID: I20220404001252 |
Provider Name | Ashley N Schrader |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841966645 PECOS PAC ID: 9133516909 Enrollment ID: I20220426000206 |
Provider Name | Robert M Riley |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1194891341 PECOS PAC ID: 2365732799 Enrollment ID: I20230104000057 |
Provider Name | James F Duffy |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1174695266 PECOS PAC ID: 1759395742 Enrollment ID: I20230111002012 |
Provider Name | Deborah Tyokighir |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750941951 PECOS PAC ID: 8921334681 Enrollment ID: I20231107003754 |
Provider Name | Saloni Nisarahmed Mansuri |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1225768864 PECOS PAC ID: 1153778030 Enrollment ID: I20231115000241 |
Provider Name | Anjalika Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972093474 PECOS PAC ID: 2668726480 Enrollment ID: I20231202000625 |
Provider Name | Darrin Michael Wiederhold |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1790845808 PECOS PAC ID: 5698036671 Enrollment ID: I20240126003263 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Mount Pleasant Drive, Scranton, PA 18503 Phone: 570-342-8500 | |
Family Urgent Care Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 Pittston Ave, Left Building, Scranton, PA 18505 Phone: 570-507-9517 Fax: 570-507-9520 | |
Kenneth H. Rudolph, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Jefferson Ave, Scranton, PA 18510 Phone: 570-343-3999 Fax: 570-343-2749 | |
Pa General And Specialty Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Mulberry St, Scranton, PA 18510 Phone: 718-534-0689 | |
Medpsych Consultants Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Scranton, PA 18508 Phone: 570-558-7707 Fax: 570-880-7786 | |
Lvpg Gastroenterology - Hecktown Oaks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 570-342-7864 Fax: 570-344-1255 | |
Geisinger Viewmont Sleep Disorder Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Ash St, Suite C, Scranton, PA 18509 Phone: 570-969-0162 Fax: 570-207-5529 |