Active NPI
Physicians Health Alliance Inc
- Obstetrics & Gynecology Physician
- Scranton, PA
National Provider Identifier
1952578486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PHYSICIANS HEALTH ALLIANCE INC
- Practice address
- 401 Adams Ave
Suite 201
Scranton, PA 18510-2025 - Phone
- (570) 346-7338
- Fax
- (570) 341-3025
- NPI assigned
- May 14, 2008
- 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
- Patricia Kane
- Title
- Coo
- Phone
- (570) 969-9005
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Gynecology Physician | 207VG0400X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
401 Adams Ave
Suite 201
Scranton, PA 18510-2025
Mailing address
1401 Electric St
Dunmore, PA 18509-2098
Phone (570) 969-9005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007712910035 | Medicaid | PA | |
| 1615649 | Other | PA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
401 Adams Ave
Ste 201
Scranton, PA 18510
Phone (570) 346-7338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1952578486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 ELECTRIC ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185092098",
"telephone_number": "570-969-9005",
"fax_number": "570-207-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ADAMS AVE",
"address_2": "SUITE 201",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102025",
"telephone_number": "570-346-7338",
"fax_number": "570-341-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HEALTH ALLIANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "570-969-9005"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007712910035",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1615649",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.