Organization Active NPI

Mercy Group Practice LLC

  • Internal Medicine Physician
  • Dickson City, PA
National Provider Identifier
1235466053
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MERCY GROUP PRACTICE LLC
Practice address
312 Boulevard Ave
Dickson City, PA 18519-1731
Phone
(570) 489-4567
Fax
(570) 489-4534
NPI assigned
Nov 16, 2009
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY GROUP PRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Stephen H Franko
Title
Cfo
Phone
(570) 348-7547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

312 Boulevard Ave
Dickson City, PA 18519-1731

Mailing address

700 Madison Ave
Scranton, PA 18510-1609
Phone (570) 348-7547

National Provider Directory

National Provider Directory
Part of
Mercy Group Practice LLC

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1235466053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101609",
            "telephone_number": "570-348-7547",
            "fax_number": "570-348-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BOULEVARD AVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191731",
            "telephone_number": "570-489-4567",
            "fax_number": "570-489-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY GROUP PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY GROUP PRACTICE LLC",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "FRANKO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-348-7547"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.