NPIMap

Organization Active NPI

Pocono Medical Center

  • Surgery Physician
  • E Stroudsburg, PA
National Provider Identifier
1205854650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
POCONO MEDICAL CENTER
Doing business as
Pocono General Surgery
Practice address
500 Plaza CT
Suite D
E Stroudsburg, PA 18301-8262
Phone
(570) 426-2301
Fax
(570) 426-2306
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward Walsh
Title
Vice President, Cfo
Phone
(570) 421-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

500 Plaza CT
Suite D
E Stroudsburg, PA 18301-8262

Mailing address

206 E Brown St
Pocono Healthcare MGMT. - Professional BLDG.
E Stroudsburg, PA 18301-3006
Phone (570) 420-4969

Other names 1

  • Pocono General Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pocono General Surgery28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205854650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MGMT. - PROFESSIONAL BLDG.",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4969",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CT",
            "address_2": "SUITE D",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183018262",
            "telephone_number": "570-426-2301",
            "fax_number": "570-426-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "570-421-4000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocono General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in E Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.