Modern Family Health, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODERN FAMILY HEALTH, INC.

Practice address

1214 Bethel Hill Rd
Shickshinny, PA 18655-3749

Phone

(570) 864-2888

Fax

(570) 864-2866

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Ryan Cope

Title

Executive Director

Phone

(570) 864-2888

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly L Marsico, PA-C, MHS

  • Physician Assistant
  • Scranton, PA
  • NPI 1205069416
  NPD (past)
• Scott Steven Prince, DO

  • Family Medicine Physician
  • Hanover Township, PA
  • NPI 1790778678
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1407252349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 BETHEL HILL RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186553749",
            "telephone_number": "570-864-2888",
            "fax_number": "570-864-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 BETHEL HILL RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186553749",
            "telephone_number": "570-864-2888",
            "fax_number": "570-864-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN FAMILY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-864-2888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara L Grier, LCSW, CCTP
• Scott Harley, PHARMD
• Health by Physics LLC
• Christina Marie Kalie
• Josh McDermott
• Neighborhood Family Medicine
• Northwest Area School District
• Megan M O'Donovan, PA-C
• Rebecca Pawlik, R.D.,L.D.N.
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01583)

• Family Medicine Physician in Shickshinny, PA
• Providers in Shickshinny, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.