Active NPI
Scranton Clinic Company LLC
- Internal Medicine Physician
- Dunmore, PA
National Provider Identifier
1801154786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SCRANTON CLINIC COMPANY LLC
- Practice address
- 1039 Oneill Hwy
Dunmore, PA 18512-1719 - Phone
- (570) 963-0977
- Fax
- (570) 963-7708
- NPI assigned
- Apr 27, 2012
- Last updated
- Apr 27, 2012
- 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
- Debbie T Brewer
- Title
- Pe Director
- Phone
- (615) 465-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1039 Oneill Hwy
Dunmore, PA 18512-1719
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Phone (877) 892-9813
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335484800000",
"number": "1801154786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MERIDIAN BLVD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676325",
"telephone_number": "877-892-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 ONEILL HWY",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121719",
"telephone_number": "570-963-0977",
"fax_number": "570-963-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCRANTON CLINIC COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PE DIRECTOR",
"authorized_official_telephone_number": "615-465-7626"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.