Individual provider Active NPI

Caitlin Wiscount, M.D.

  • Pediatrics Physician
  • Pottsville, PA
National Provider Identifier
1205096625
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD460920 Issued in PA
Practice address
529 Terry Reiley Way
Pottsville, PA 17901-6022
Phone
(570) 624-4444
NPI assigned
Jun 10, 2008
Last updated
Aug 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 018845 ME
Pediatrics Physician 208000000X MD460920 PA Primary

Addresses

Primary practice location

529 Terry Reiley Way
Pottsville, PA 17901-6022

Mailing address

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

Other practice location 1

33 Mollison Way
Lewiston, ME 04240-5805
Phone (207) 784-5782

Other names 1

  • Caitlin Mallis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwiscount151647@direct.geisinger.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017000585 PA Practitioner - Pediatric Medicine 2264708429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018845MEMDPediatrics Physician
MD460920PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Lewiston P.a. Pediatrics Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Oct 23, 2017 Accepting new patients
Geieinger Clinic Pediatrics CurrentSince Oct 23, 2017 Accepting new patients
Geisinger Clinic Pediatrics Past Accepting new patients
Geisinger Clinic Pediatrics Past Accepting new patients

Locations

33 Mollison Way
Lewiston, ME 04240
Phone (207) 784-5782

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

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

Interoperability endpoints

  • Direct secure messaging: caitlinwiscount@palpa.allscriptsdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1205096625",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 TERRY REILEY WAY",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179016022",
            "telephone_number": "570-624-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Mollison Way",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405805",
            "country_code": "US",
            "telephone_number": "207-784-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISCOUNT",
        "first_name": "CAITLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "018845",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD460920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwiscount151647@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "529 Terry Reiley Way",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179016022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MALLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.