Active NPI
Physicians Health Alliance Inc.
- Neonatal-Perinatal Medicine Physician
- Scranton, PA
National Provider Identifier
1700106473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- PHYSICIANS HEALTH ALLIANCE INC.
- Practice address
- 700 Quincy Ave
Scranton, PA 18510-1724 - Phone
- (570) 969-9005
- Fax
- (570) 207-0706
- NPI assigned
- Jun 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Kane
- Title
- Coo
- Phone
- (570) 969-9005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
700 Quincy Ave
Scranton, PA 18510-1724
Mailing address
1401 Electric St
Dunmore, PA 18509-2098
Phone (570) 969-9005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2508986 | Other | PA | BLUE SHIELD |
| 1007712910042 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1700106473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 ELECTRIC ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185092098",
"telephone_number": "570-969-9005",
"fax_number": "570-207-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 QUINCY AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101724",
"telephone_number": "570-969-9005",
"fax_number": "570-207-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HEALTH ALLIANCE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "570-969-9005"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "2508986",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007712910042",
"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 Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.