Medical Profesional Service, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL PROFESIONAL SERVICE, PC

Practice address

675 Wyoming Ave
Kingston, PA 18704-3831

Phone

(570) 288-4205

NPI assigned

Feb 1, 2007

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip James Mertz, PHD

Title

Director of Clinical Services

Phone

(570) 288-4205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Eckrote, PA-C

  • Medical Physician Assistant
  • Kingston, PA
  • NPI 1851588529
  Medicare reassignment Care Compare group NPD
• Mark W Scinico, MD

  • Internal Medicine Physician
  • WLKS Barr TWP, PA
  • NPI 1396824470
  Medicare reassignment Care Compare group NPD
• Scott Alan Weisenfluh, PA-C

  • Physician Assistant
  • Kingston, PA
  • NPI 1427272509
  Medicare reassignment Care Compare group
• Jennifer Repshis, PAC

  • Medical Physician Assistant
  • Plains, PA
  • NPI 1568456754
  Medicare reassignment
• Joseph Anthony Campanella, M.D.

  • General Practice Physician
  • Kingston, PA
  • NPI 1093853293
  NPD (past)
• Pamela Lea Macneely, PA-C

  • Medical Physician Assistant
  • Kingston, PA
  • NPI 1770608481
  NPD (past)
• Kurt Paul Moran, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1831214535
  NPD (past)
• Stefanie Marie Smith, MS, RD, LDN

  • Registered Dietitian
  • Kingston, PA
  • NPI 1548674963
  NPD (past)
• Samuel R Walker, RD

  • Registered Dietitian
  • Kingston, PA
  • NPI 1073099313
  NPD (past)
• Genevieve Anne Wroblewski, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • High Point, NC
  • NPI 1396787719
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1821136227",
    "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": {
        "organization_name": "MEDICAL PROFESIONAL SERVICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "570-288-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elaine McDonald, PH.D.,LSW
• Carolyn Hovey McGinnis, LCSW
• Med-One Supply, Inc.
• Medical Center of Northeastern PA LLC
• Medical Oncology Associates of Wyoming Valley, PC
• Kellie Nicole Meehan
• Mary Joan Meehan
• Miguel Antonio Melo Duarte, MD
• Merc Counseling Services, LLC
• Carlo Anthony Mercadante, LAT, ATC

• General Practice Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.