NPIMap

Individual provider Active NPI

Maureen M Litchman, MD

  • Family Medicine Physician
  • Kingston, PA
National Provider Identifier
1275508384
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038417L Issued in PA
Practice address
2 Sharpe Street
Kingston, PA 18704
Phone
(570) 552-8900
Fax
(570) 552-8958
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038417L PA Primary

Addresses

Primary practice location

2 Sharpe Street
Kingston, PA 18704

Mailing address

2 Sharpe St
Kingston, PA 18704-3715
Phone (570) 552-8900

Other identifiers 1

IdentifierTypeStateIssuer
001001405MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maureenl@thewrightcenter.medentdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000492 PA Practitioner - Family PracticePractitioner - Emergency Medicine 8729088463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Hahneman Medical College of the Pacific, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Corporation of Northeastern PennsylvaniaGroup PAC ID 1052362662, 8 clinicians

Practice addresses (Care Compare)

2795 Sullivans TRL
Falls, PA 18615-7949
Phone (570) 704-4117

Hospital & facility affiliations

  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038417LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince Jan 1, 2007 Accepting new patients
United Health and Hospital Services, Inc. Family Medicine Past Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

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 and National Provider Directory roles.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1275508384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHARPE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043715",
            "telephone_number": "570-552-8900",
            "fax_number": "570-552-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHARPE STREET",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-552-8900",
            "fax_number": "570-552-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHMAN",
        "first_name": "MAUREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038417L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001405",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maureenl@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Sharpe Street",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.