Individual provider Active NPI

Emily Dwyer, PAC

  • Physician Assistant
  • Stroudsburg, PA
National Provider Identifier
1245061522
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006952 Issued in PA
Practice address
1619 N 9TH St Ste 2
Stroudsburg, PA 18360-6501
Phone
(570) 664-8900
Fax
(570) 664-8905
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA006952 PA Primary

Addresses

Primary practice location

1619 N 9TH St Ste 2
Stroudsburg, PA 18360-6501

Mailing address

1619 N 9TH St Ste 2
Stroudsburg, PA 18360-6501
Phone (570) 664-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904001347 PA Practitioner - Physician Assistant 0244770352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1581 N 9TH St
Stroudsburg, PA 18360-7576
Phone (272) 212-0620

1619 N 9TH St
Stroudsburg, PA 18360-6501

1619 N 9TH Street
2A St Luke's Nephrology Associates of Monro
Stroudsburg, PA 18360-6501
Phone (610) 628-7920

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc CurrentSince Aug 27, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 27, 2024 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

1619 N 9th St
Ste 2
Stroudsburg, PA 18360
Phone (570) 664-8900

Interoperability endpoints

  • Direct secure messaging: edwyer308589@direct-sluhn.org

Organizations & group practices 4

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1245061522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST STE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "570-664-8900",
            "fax_number": "570-664-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N 9TH ST STE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "570-664-8900",
            "fax_number": "570-664-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "EMILY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.