Northeast Pennsylvania Nephrology Associates PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NORTHEAST PENNSYLVANIA NEPHROLOGY ASSOCIATES PC

Practice address

802 Jefferson Ave
Scranton, PA 18510-1038

Phone

(570) 348-0360

Fax

(570) 348-0362

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Jeremiah W Eagen, MD

Title

President Treasurer

Phone

(570) 348-0360

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Eugene Boyd, CRNP

  • Family Nurse Practitioner
  • Scranton, PA
  • NPI 1578932414
  Medicare reassignment
• Roger T Getts, DO

  • Nephrology Physician
  • Scranton, PA
  • NPI 1295733194
  Medicare reassignment
• Lindsay M Smith, D.O.

  • Nephrology Physician
  • Dunmore, PA
  • NPI 1891093241
  Medicare reassignment
• Christin Mary Spatz, MD

  • Nephrology Physician
  • Sayre, PA
  • NPI 1780882969
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1386617967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 JEFFERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101038",
            "telephone_number": "570-348-0360",
            "fax_number": "570-348-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 JEFFERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101038",
            "telephone_number": "570-348-0360",
            "fax_number": "570-348-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PENNSYLVANIA NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "EAGEN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT TREASURER",
        "authorized_official_telephone_number": "570-348-0360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "851436",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C. Norcross, PHD
• Northeast Anesthesiology Inc
• Northeast Autism Center Inc.
• Northeast Ear, Nose & Throat Center, PC
• Northeast Pennsylvania Center for Independent Living
• Northeastern Eye Institute
• Northeastern Eye Institute
• Northeastern Pennsylvania Imaging Center
• Northeastern Rehabilitation Associates, PC
• Erin Notz, CRNP

• Nephrology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.