NPIMap

Individual provider Active NPI

Kristin Molly Liptock, DO

  • Hematology & Oncology Physician
  • Dunmore, PA
National Provider Identifier
1407064181
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OS014331 Issued in PA
Practice address
1100 Meade Street
Dunmore, PA 18512-3169
Phone
(570) 342-3675
Fax
(570) 342-3316
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OS014331 PA Primary

Addresses

Primary practice location

1100 Meade Street
Dunmore, PA 18512-3169

Mailing address

1100 Meade Street
Dunmore, PA 18512-3169
Phone (570) 342-3675

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
I20081015000413 PA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4880752120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Meade St
Dunmore, PA 18512-3169
Phone (570) 342-3675

Hospital & facility affiliations

  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014331PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology and Oncology Associates of Northeastern PA, PC Hematology & Oncology CurrentSince Sep 2, 2008 Accepting new patients
Wayne Memorial Hospital CurrentSince May 6, 2020 Accepting new patients
Wayne Memorial Hospital CurrentSince May 6, 2020 Accepting new patients

Locations

1100 Meade St
Dunmore, PA 18512
Phone (570) 342-3675

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

Interoperability endpoints

  • Direct secure messaging: kliptock@hemonc1.direct.varian.com

Organizations & group practices 3

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

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1407064181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEADE STREET",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEADE STREET",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTOCK",
        "first_name": "KRISTIN",
        "middle_name": "MOLLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OS014331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.