Michael S Imbrogno MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD 037262 E Issued in PA

Legal business name

MICHAEL S IMBROGNO MD PC

Doing business as

Wyoming Valley Pediatrics

Practice address

3 Oak Ctr
Wilkes Barre, PA 18702-7338

Phone

(570) 822-7070

Fax

(570) 822-9468

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By 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

Dr. Michael Steven Imbrogno, M.D.NPI 1417914979

Title

President

Phone

(570) 822-7070

Specialties & licenses 1

Addresses

Other names 1

• WYOMING VALLEY PEDIATRICS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Michael Steven Imbrogno, MD

  • Pediatrics Physician
  • Wilkes Barre, PA
  • NPI 1417914979
  Authorized official Same address or phone

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538111786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1736",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187031736",
            "telephone_number": "570-822-7070",
            "fax_number": "570-822-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OAK CTR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027338",
            "telephone_number": "570-822-7070",
            "fax_number": "570-822-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S IMBROGNO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMBROGNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-822-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD 037262 E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYOMING VALLEY PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Meyerhoff
• Khuram Mushtaq Mian, D.O.
• Nabeela Z Mian, MD
• Spencer Mical, PA-C
• Michael M Ferraro, M.D., LLC
• Brooke Michael
• Gregory Stephen Michael, PSYD
• Joseph Nagui Michael, DC
• Molly Rose Michalik
• Mid-State Occupational Health Services, Inc.

• Pediatrics Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.