NPIMap

Individual provider Active NPI

Steven Tlatenchi, PA-C

  • Physician Assistant
  • Wilkes Barre, PA
National Provider Identifier
1144861402
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061160 Issued in PA
Practice address
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone
(570) 829-2621
NPI assigned
Oct 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061160 PA Primary

Addresses

Primary practice location

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stlatenchi231916@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111001750 PA Practitioner - Physician Assistant 1759713837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Caring Community Health CenterGroup PAC ID 5698004588, 46 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621

25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3181

426 Airport Rd
Suite 125
Hazle Township, PA 18202-3361
Phone (570) 829-2621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Health Center CurrentSince Nov 18, 2019 Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2019 Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Caring Community Health Center Past Accepting new patients

Locations

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

157 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 884-3726

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: stlatenchi231916@direct.geisinger.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1144861402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S WILKES BARRE BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025040",
            "telephone_number": "570-829-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLATENCHI",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stlatenchi231916@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 S Wilkes Barre Blvd",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187025040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.