Active NPI
County of Wyoming
- Registered Nurse
- Tunkhannock, PA
National Provider Identifier
1336364421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- COUNTY OF WYOMING
- Practice address
- 1 Courthouse Square
Tunkhannock, PA 18657 - Phone
- (570) 836-3131
- Fax
- (570) 836-1639
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Greg Porasky
- Title
- Director
- Phone
- (570) 836-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
1 Courthouse Square
Tunkhannock, PA 18657
Mailing address
PO Box 29
Tunkhannock, PA 18657
Phone (570) 836-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016388030001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1 Courthouse Sq
Tunkhannock, PA 18657
Phone (570) 614-4308
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Tunkhannock, PA
- NPI 1962294538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336364421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "18657",
"telephone_number": "570-836-3131",
"fax_number": "570-836-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COURTHOUSE SQUARE",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "18657",
"telephone_number": "570-836-3131",
"fax_number": "570-836-1639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WYOMING",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PORASKY",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "570-836-3131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016388030001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tunkhannock, 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.