Active NPI
Maria Regina Murnock, PA-C
- Medical Physician Assistant
- Scranton, PA
National Provider Identifier
1730149063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA050653
- Practice address
- 326 Adams Avenue
Scranton, PA 18503 - Phone
- (570) 348-6100
- Fax
- (570) 342-3316
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA050653 | PA | |
| Medical Physician Assistant | 363AM0700X | MA050653 | PA | Primary |
Addresses
Primary practice location
326 Adams Avenue
Scranton, PA 18503
Mailing address
RR2 Box 2217
Factoryville, PA 18419
Phone (570) 945-3404
Other names 1
- Maria Regina Lacoe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050653 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Human Services Center Inc | Past | Accepting new patients | |
| Tri County Human Services Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Carbondale, PA
- NPI 1710186952
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carbondale, PA
- NPI 1912966805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1730149063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR2 BOX 2217",
"city": "FACTORYVILLE",
"state": "PA",
"postal_code": "18419",
"telephone_number": "570-945-3404",
"fax_number": "570-342-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 ADAMS AVENUE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-348-6100",
"fax_number": "570-342-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURNOCK",
"first_name": "MARIA",
"middle_name": "REGINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA050653",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA050653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "LACOE",
"middle_name": "REGINA",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 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.