Organization Active NPI

Advanced Inpatient Palliative Medicine PC

  • Hospitalist Physician
  • Wilkes Barre, PA
National Provider Identifier
1679933394
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ADVANCED INPATIENT PALLIATIVE MEDICINE PC
Practice address
575 N River St
Wilkes Barre, PA 18764-0999
Phone
(570) 552-4450
Fax
(570) 552-4455
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Ann Paone Gallagher, MS, CPC
Title
Chief Operating Officer
Phone
(570) 241-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-0999

Mailing address

150 Ice Lake Dr
Mountain Top, PA 18707-9654
Phone (570) 647-8990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1679933394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ICE LAKE DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079654",
            "telephone_number": "570-647-8990",
            "fax_number": "570-261-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-552-4450",
            "fax_number": "570-552-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INPATIENT PALLIATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "PAONE GALLAGHER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "570-241-4715",
        "authorized_official_credential": "MS, CPC"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.