Active NPI
Scranton Emergency Physician Services LLC
- Emergency Medicine Physician
- Scranton, PA
National Provider Identifier
1356640163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SCRANTON EMERGENCY PHYSICIAN SERVICES LLC
- Practice address
- 746 Jefferson Ave
Scranton, PA 18510-1624 - Phone
- (570) 348-7957
- Fax
- (570) 936-5631
- NPI assigned
- Mar 18, 2011
- 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
- Debbie T Brewer
- Title
- Director
- Phone
- (877) 892-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
746 Jefferson Ave
Scranton, PA 18510-1624
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Phone (877) 892-9813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102578853 0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313452800000",
"number": "1356640163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MERIDIAN BLVD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676325",
"telephone_number": "877-892-9813",
"fax_number": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-348-7957",
"fax_number": "570-936-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCRANTON EMERGENCY PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-18",
"last_updated": "2011-08-16",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-892-9813"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102578853 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.