NPIMap

Organization Active NPI

Marywood University

  • Sports Medicine (Emergency Medicine) Physician
  • Scranton, PA
National Provider Identifier
1316131360
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
MD032293E Issued in PA
Legal business name
MARYWOOD UNIVERSITY
Practice address
2300 Adams Avenue
Oneill Center for Healthy Families
Scranton, PA 18509
Phone
(570) 340-6069
Fax
(570) 340-6067
NPI assigned
Sep 4, 2007
Organization subpart
Yes
Parent organization
MARYWOOD UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
William James Dempsey Jr., MD
Title
Medical Director
Phone
(570) 840-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PS0010X MD032293E PA Primary

Addresses

Primary practice location

2300 Adams Avenue
Oneill Center for Healthy Families
Scranton, PA 18509

Mailing address

2300 Adams Avenue
Oneill Center for Healthy Families
Scranton, PA 18509
Phone (570) 340-6069

Other names 1

  • Marywood University Human Performance Laboratory Other name

National Provider Directory

National Provider Directory
Tax ID family
Marywood University2 organizations share this tax ID, including this one
Part of
Marywood University

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1316131360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVENUE",
            "address_2": "ONEILL CENTER FOR HEALTHY FAMILIES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-340-6069",
            "fax_number": "570-340-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVENUE",
            "address_2": "ONEILL CENTER FOR HEALTHY FAMILIES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-340-6069",
            "fax_number": "570-340-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYWOOD UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYWOOD UNIVERSITY",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-840-2252",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD032293E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marywood University Human Performance Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.