Specialty Medical Care Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPECIALTY MEDICAL CARE SERVICES, LLC

Practice address

2214 N Atherton St
State College, PA 16803-1544

Phone

(866) 268-6609

Fax

(866) 610-4542

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SPECIALTY MEDICAL CARE SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Melissa A Callahan, AGPCNP-BCNPI 1669411393

Title

President

Phone

(866) 268-6609

Specialties & licenses 2

Addresses

Tax ID family

Specialty Medical Care Services LLC3 organizations share this tax ID, including this one

Part of

Specialty Medical Care Services LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Specialty Medical Care Services, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Akron, PA
  • NPI 1134779473
  NPD tax ID
• Specialty Medical Care Services, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Exton, PA
  • NPI 1659965689
  NPD tax ID

Locations

Practitioners 1

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.

• Melissa A Callahan, CRNP

  • Gerontology Nurse Practitioner
  • Exton, PA
  • NPI 1669411393
  Authorized official Same address or phone

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1023694262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412450",
            "telephone_number": "866-268-6609",
            "fax_number": "866-610-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "866-268-6609",
            "fax_number": "866-610-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Exton Cmns",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412450",
            "country_code": "US",
            "telephone_number": "866-268-6609",
            "fax_number": "866-610-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY MEDICAL CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY MEDICAL CARE SERVICES, LLC",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-268-6609",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Rayne Solomon, MS, RD, CSCS, ISAK
• Stephanie Solomon, MS, RD, LDN
• Katie Solon, LA.C
• Kristin Lynn Sondys, MS, LAT, ATC
• Alka Sood, MD
• Alicia Jean Spence, MPT
• Brian Allen Spencer, D.O.
• Evan Spencer
• Douglas Alan Spotts, M.D.
• David Sprague

• Specialist in State College, PA
• Providers in State College, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.