Pamela Lea Macneely, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002498L Issued in PA

Practice address

675 Wyoming Ave
Kingston, PA 18704-3831

Phone

(570) 288-4205

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Medical Profesional Service, PC

  • General Practice Physician
  • Kingston, PA
  • NPI 1821136227
  NPD (past)
• Mo Medical Management Inc.

  • Multi-Specialty Clinic/Center
  • Kingston, PA
  • NPI 1083161970
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770608481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEELY",
        "first_name": "PAMELA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002498L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luzerne Wyoming County MH Center #1
• Lybh Corp
• Lycoming Physical Medicine
• Lycoming Physical Medicine, PC
• Stephanie Lynch, M.S, CRC
• Sara M Maculloch
• David Mallarkey Jr., RN
• Malsom Chiropractic PLLC
• Emily Amanda Malsom, DC
• Bonita M Mancia, M.D.

• Medical Physician Assistant in Kingston, PA
• Providers in Kingston, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.