Pocono Mountain School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

POCONO MOUNTAIN SCHOOL DISTRICT

Practice address

Pocono Mountain School Rd
Swiftwater, PA 18370-0200

Phone

(570) 839-7121

Fax

(570) 895-4522

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Paul V Kelly

Title

Business Manager

Phone

(570) 839-7121

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Schaller

  • Speech-Language Pathologist
  • Swiftwater, PA
  • NPI 1538082581
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912940669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POCONO MOUNTAIN SCHOOL RD",
            "address_2": "PO BOX 200",
            "city": "SWIFTWATER",
            "state": "PA",
            "postal_code": "183700200",
            "telephone_number": "570-839-7121",
            "fax_number": "570-895-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POCONO MOUNTAIN SCHOOL RD",
            "city": "SWIFTWATER",
            "state": "PA",
            "postal_code": "183700200",
            "telephone_number": "570-839-7121",
            "fax_number": "570-895-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MOUNTAIN SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "570-839-7121"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014451610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Grimm, OD
• Nishith Kishor Jobanputra, DO, MPH, MTM&H
• David Rue Johnson, MD, MPH
• Michael A Larkins, CASAC-2,DOT SAP
• John Gordon McNeil, M.D.
• Mary Kathryn Reeves-Hoche, PHD, CRNP, ANP-BC
• Frederick Leon Ruben, M.D.
• Audrey Schaller
• Jane Anne Scheffler, ATC
• Ryan Tatu

• Local Education Agency (LEA) in Swiftwater, PA
• Providers in Swiftwater, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.