North Penn Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS009191L Issued in PA

Legal business name

NORTH PENN MEDICAL GROUP

Practice address

240 N Sherman St
Wilkes Barre, PA 18702-5316

Phone

(570) 550-2200

Fax

(570) 261-5071

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Anthony Dompkosky, DO

Title

Owner

Phone

(570) 550-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1558617845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071148",
            "telephone_number": "570-550-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N SHERMAN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025316",
            "telephone_number": "570-550-2200",
            "fax_number": "570-261-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PENN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "DOMPKOSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-550-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009191L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nole, LSW
• Mariah Madison Nolen, DO
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• Internal Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.