Organization Active NPI

The Center for Integrative Medicine at Inner Harmony, PC

  • Family Medicine Physician
  • Scranton, PA
National Provider Identifier
1578590980
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE CENTER FOR INTEGRATIVE MEDICINE AT INNER HARMONY, PC
Practice address
743 Jefferson Ave
Suite 104
Scranton, PA 18510
Phone
(570) 346-4621
Fax
(570) 346-5109
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Barry Irving Eisenberg, D.O.
Title
Director
Phone
(570) 346-4621

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

743 Jefferson Ave
Suite 104
Scranton, PA 18510

Mailing address

743 Jefferson Ave
Suite 104
Scranton, PA 18510
Phone (570) 346-4621

Other identifiers 1

IdentifierTypeStateIssuer
0018654700006MedicaidPA

National Provider Directory

National Provider Directory

Locations

746 Jefferson Ave
Ste 104
Scranton, PA 18510
Phone (570) 207-0433

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1578590980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-346-4621",
            "fax_number": "570-346-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-346-4621",
            "fax_number": "570-346-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INTEGRATIVE MEDICINE AT INNER HARMONY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-346-4621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018654700006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.