NPIMap

Organization Active NPI

Sweet Family Practice PC -FP Program

  • Clinic/Center
  • Wysox, PA
National Provider Identifier
1760648455
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD061835L Issued in PA
Legal business name
SWEET FAMILY PRACTICE PC -FP PROGRAM
Practice address
Route 6 Golden Mile
Ste 341
Wysox, PA 18854-0341
Phone
(570) 268-6400
Fax
(570) 268-6401
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Constance Sweet, DO
Title
Physician/Owner
Phone
(570) 268-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD061835L PA Primary

Addresses

Primary practice location

Route 6 Golden Mile
Ste 341
Wysox, PA 18854-0341

Mailing address

Route 6 Golden Mile
Ste 341
Wysox, PA 18854-0341
Phone (570) 268-6400

Other identifiers 1

IdentifierTypeStateIssuer
1014577730002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1760648455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 6 GOLDEN MILE",
            "address_2": "STE 341",
            "city": "WYSOX",
            "state": "PA",
            "postal_code": "188540341",
            "telephone_number": "570-268-6400",
            "fax_number": "570-268-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 6 GOLDEN MILE",
            "address_2": "STE 341",
            "city": "WYSOX",
            "state": "PA",
            "postal_code": "188540341",
            "telephone_number": "570-268-6400",
            "fax_number": "570-268-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET FAMILY PRACTICE PC -FP PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "570-268-6400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD061835L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014577730002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wysox, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.