Active NPI
Sleep Disorder Center of Wyoming Valley
- Sleep Medicine (Internal Medicine) Physician
- Wilkes Barre, PA
National Provider Identifier
1194834606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD034081E
- Legal business name
- SLEEP DISORDER CENTER OF WYOMING VALLEY
- Practice address
- 1065 Highway 315
Suite 202
Wilkes Barre, PA 18702-6941 - Phone
- (570) 829-6900
- Fax
- (570) 829-0122
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Potorski, M.D.
- Title
- President
- Phone
- (570) 288-5441
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD034081E | PA | Primary |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
1065 Highway 315
Suite 202
Wilkes Barre, PA 18702-6941
Mailing address
610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441
National Provider Directory
National Provider DirectoryLocations
1065 Highway 315 Blvd
Ste 202
Wilkes Barre, PA 18702
Phone (570) 829-6900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Wilkes Barre, PA
- NPI 1982617254
Sleep Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1194834606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043702",
"telephone_number": "570-288-5441",
"fax_number": "570-288-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 HIGHWAY 315",
"address_2": "SUITE 202",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026941",
"telephone_number": "570-829-6900",
"fax_number": "570-829-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DISORDER CENTER OF WYOMING VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "POTORSKI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-288-5441",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "PA",
"license": "MD034081E",
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.