Organization Active NPI

Advanced Inpatient Medicine-LTAC PC

  • Hospitalist Physician
  • Scranton, PA
National Provider Identifier
1114387735
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ADVANCED INPATIENT MEDICINE-LTAC PC
Practice address
746 Jefferson Ave
Scranton, PA 18510-1624
Phone
(570) 340-5079
Fax
(570) 340-5896
NPI assigned
Feb 24, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Anne Paone Gallagher, MS, CPC
Title
Chief Operating Officer
Phone
(570) 241-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

746 Jefferson Ave
Scranton, PA 18510-1624

Mailing address

150 Ice Lake Dr
Mountain Top, PA 18707-9654
Phone (570) 647-8990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1114387735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ICE LAKE DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079654",
            "telephone_number": "570-647-8990",
            "fax_number": "570-261-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-340-5079",
            "fax_number": "570-340-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INPATIENT MEDICINE-LTAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "PAONE GALLAGHER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "570-241-4715",
        "authorized_official_credential": "MS, CPC"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2016; 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.