NPIMap

Individual provider Active NPI

Stanley Roberts Skonieczki III, MD

  • Emergency Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1376518001
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD050672L Issued in PA
Practice address
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7762
Fax
(570) 808-6128
NPI assigned
Feb 17, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD050672L PA Primary

Addresses

Primary practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 2

IdentifierTypeStateIssuer
10936602OtherPACAQH
0015972990010MedicaidPA

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
I20040311001171 PA Practitioner - Emergency MedicinePractitioner - Hospitalist 8527957265 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Medicine PCGroup PAC ID 6406995778, 25 clinicians
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

150 Brooklyn St
Carbondale, PA 18407-2274
Phone (570) 282-2031

273 Grandview Ave
Honesdale, PA 18431-1163
Phone (570) 390-4545

412 Como Rd
Lake Como, PA 18437-1020
Phone (570) 798-2828

543 Easton Tpke
Lake Ariel, PA 18436-4718
Phone (570) 689-9965

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8100

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 17, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic Emergency Medicine CurrentSince Oct 17, 2022 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Dec 11, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Advanced Inpatient Medicine Associates PC CurrentSince Mar 12, 2023 Accepting new patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Pennsylvania Hospitalist Group, LLC CurrentSince May 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Oct 17, 2022 Accepting new patients
Advanced Inpatient Medicine Transitional Care PC CurrentSince Nov 13, 2023 Accepting new patients
Adfinitas Health Palliative Services, LLC CurrentSince May 19, 2024 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Mar 14, 2023 Accepting new patients
Geisinger-HM Joint Venture LLC CurrentSince Oct 17, 2022 Accepting new patients
Wayne Memorial Community Health Centers Emergency Medicine CurrentSince Dec 11, 2023 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Wayne Memorial Hospital Past Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients
Emergency Services, PC Emergency Medicine Past Accepting new patients

Locations

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

185 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 334-8273

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

50 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 525-3488

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

575 N River St
#M
Wilkes Barre, PA 18764

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

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

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1376518001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7762",
            "fax_number": "570-808-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKONIECZKI",
        "first_name": "STANLEY",
        "middle_name": "ROBERTS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD050672L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10936602",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015972990010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.