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Organization Active NPI

Scranton Hospitalist Physician Services LLC

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1023317849
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SCRANTON HOSPITALIST PHYSICIAN SERVICES LLC
Practice address
746 Jefferson Ave
4TH Floor
Scranton, PA 18510-1624
Phone
(570) 340-5079
Fax
(570) 340-5893
NPI assigned
Mar 18, 2011
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendi Keeton
Title
Sr. Director Operations
Phone
(615) 628-6507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

746 Jefferson Ave
4TH Floor
Scranton, PA 18510-1624

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325
Phone (615) 465-7000

Other practice location 1

150 Mundy St
Wilkes-Barre Township, PA 18702-6804
Phone (877) 848-1457

Other practice location 2

190 Welles St
Forty Fort, PA 18704-4968
Phone (877) 848-1457

Other practice location 3

575 N River St
Wilkes Barre, PA 18702-2634
Phone (877) 848-1457

Other practice location 4

468 Northampton St
Edwardsville, PA 18704-4566
Phone (877) 848-1457

Other identifiers 1

IdentifierTypeStateIssuer
102576840 0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, SC, CA, NY, IL, KY, MI, AL, NJ, KS11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20110525000205 PA Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 72 practitioners
Practice locations: Wyoming, PA; Wilkes Barre Township, PA; Wilkes Barre, PA; Shavertown, PA; Scranton, PA; Roaring Brook TWP, PA; North Abington Township, PA; Moosic, PA…
O20250611003334 FL Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL; Orlando, FL; Hallandale Beach, FL; Melbourne, FL
O20250620000673 SC Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: Blythewood, SC
O20250620002832 CA Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA; Monterey Park, CA; Santa Monica, CA
O20250625002959 NY Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 3 practitioners
Practice locations: Ithaca, NY; Mount Vernon, NY; New York, NY
O20250703001872 IL Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL
O20250721001930 KY Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY
O20250811002164 MI Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: Orchard Lake, MI
O20250811004136 AL Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL
O20250814002506 NJ Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ
O20260114003013 KS Part B Supplier - Clinic/Group Practice 7719163831 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1023317849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7000",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-340-5079",
            "fax_number": "570-340-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Mundy St",
            "address_purpose": "LOCATION",
            "city": "Wilkes-Barre Township",
            "state": "PA",
            "postal_code": "187026804",
            "country_code": "US",
            "telephone_number": "877-848-1457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Welles St",
            "address_purpose": "LOCATION",
            "city": "Forty Fort",
            "state": "PA",
            "postal_code": "187044968",
            "country_code": "US",
            "telephone_number": "877-848-1457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187022634",
            "country_code": "US",
            "telephone_number": "877-848-1457",
            "fax_number": "659-235-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "PA",
            "postal_code": "187044566",
            "country_code": "US",
            "telephone_number": "877-848-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCRANTON HOSPITALIST PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "SR. DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "615-628-6507"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102576840 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.