Scranton Temple Residency Program Faculty Service

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SP007899 Issued in PA

Legal business name

SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICE

Practice address

5 S. Washington Ave
Jermyn, PA 18433

Phone

(570) 383-9934

Fax

(570) 383-6258

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Elidoru Primpro

Title

Chief Financial Officer

Phone

(570) 941-0630

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Enmett Wright, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1053305938
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1164439006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-343-2383",
            "fax_number": "570-963-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S. WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "18433",
            "telephone_number": "570-383-9934",
            "fax_number": "570-383-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PRIMPRO",
        "authorized_official_first_name": "ELIDORU",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "570-941-0630"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP007899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seleena Rashid
• Jessica Luz Rosario
• Enrique Samonte, M.D.
• Maria Alexies O. Samonte, M.D.
• Susan Schlasta, LCSW, BCD
• Laurie Ann Seid, P.T.
• Jignesh Yasmin Sheth, M.D., M.P.H.
• Anastasia Shishlo
• Sterling Pharmacy,Inc.
• Louis J Strazzeri

• Internal Medicine Physician in Jermyn, PA
• Providers in Jermyn, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.