Organization Active NPI

Michel Goubran MD P.C.

  • Addiction Medicine (Family Medicine) Physician
  • Scranton, PA
National Provider Identifier
1336678374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD035965L Issued in PA
Legal business name
MICHEL GOUBRAN MD P.C.
Doing business as
St. Rita's Medical Center
Practice address
1831 Pittston Ave Ste 2
Scranton, PA 18505-1651
Phone
(570) 507-9517
Fax
(570) 507-9520
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michel Goubran, MD
Title
President
Phone
(570) 507-9517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X MD035965L PA Primary
Medical Specialty Clinic/Center 261QM2500X MD035965L PA

Addresses

Primary practice location

1831 Pittston Ave Ste 2
Scranton, PA 18505-1651

Mailing address

1831 Pittston Ave Ste 2
Scranton, PA 18505-1651
Phone (570) 507-9517

Other names 1

  • St. Rita's Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1831 Pittston Ave
Ste 2
Scranton, PA 18505
Phone (570) 507-9517

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336678374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE STE 2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE STE 2",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL GOUBRAN MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOUBRAN",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-507-9517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD035965L",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD035965L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Rita's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.