Scott Street Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SCOTT STREET MEDICAL GROUP LLC

Practice address

500 Scott St
Wilkes Barre, PA 18702-5616

Phone

(570) 824-1700

Fax

(570) 270-9060

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Waymire, CPC

Title

Credentialing

Phone

(570) 693-6163

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1669085544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025616",
            "telephone_number": "570-824-1700",
            "fax_number": "570-270-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025616",
            "telephone_number": "570-824-1700",
            "fax_number": "570-270-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT STREET MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "WAYMIRE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "570-693-6163",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Joseph Schwiter, M.D.
• Elizabeth A Scialpi
• Barbara A Sciandra, PHARM.D.
• Lucyann M Sciandra, DO
• Maria Teresa Scinico, MD
• Andrea Scott
• James F. Scott, PA-C
• Christina Seber
• Ann Sebo
• Dylan Sebring, MA

• Family Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 Aug 28, 2020; 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.