Lake Region Urgent Care, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LAKE REGION URGENT CARE, PC

Practice address

103 Spruce St
Suite 201
Hawley, PA 18428-1149

Phone

(570) 390-4545

Fax

(570) 390-4546

NPI assigned

Feb 17, 2010

Last updated

Jul 13, 2011By 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. Roman W Matlaga, D.O.

Title

Medical Director

Phone

(570) 390-4545

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Joseph Paul Vilogi, M.D.

  • Emergency Medicine Physician
  • Clarks Summit, PA
  • NPI 1851390140
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1881916989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040733",
            "telephone_number": "570-390-4545",
            "fax_number": "570-390-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SPRUCE ST",
            "address_2": "SUITE 201",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281149",
            "telephone_number": "570-390-4545",
            "fax_number": "570-390-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MATLAGA",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-390-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly S. Magee, LPC, LLC
• Keystone Family Practice of Hawley
• Jennifer Kiesendahl
• Lackawaxen Township Volunteer Ambulance Service (Lackawaxen EMS)
• Lake Region Functional Therapy LLC
• Lakeside Discount Pharmacy Inc.
• Lakota Healthcare (The Singer Group, LLC)
• Samantha Lecce
• Shira Lynne Lipperini Ramirez, PT, DPT
• Krystal A Lloyd, M.S. CCC-SLP

• Emergency Medicine Physician in Hawley, PA
• Providers in Hawley, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.