NPIMap

Organization Active NPI

Planned Parenthood Keystone

  • Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1992972566
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANNED PARENTHOOD KEYSTONE
Practice address
101 N Main St
Wilkes Barre, PA 18701-2002
Phone
(800) 230-7526
Fax
(610) 481-0486
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD KEYSTONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Mr. Ryan Roth
Title
Revenue Cycle Director
Phone
(610) 481-0481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA Primary
Ambulatory Family Planning Facility 261QA0005X PA
Non-Surgical Family Planning Clinic/Center 261QF0050X PA

Addresses

Primary practice location

101 N Main St
Wilkes Barre, PA 18701-2002

Mailing address

5920 Hamilton Blvd Ste 201
Allentown, PA 18106-8944
Phone (610) 481-0481

Other identifiers 1

IdentifierTypeStateIssuer
1000073270039MedicaidPA

Other names 1

  • Planned Parenthood Keystone Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Keystone11 organizations share this tax ID, including this one
Part of
Planned Parenthood Keystone

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29 N 9th St
Allentown, PA 18101
Phone (610) 439-1033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1992972566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181068944",
            "telephone_number": "610-481-0481",
            "fax_number": "610-481-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012002",
            "telephone_number": "800-230-7526",
            "fax_number": "610-481-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD KEYSTONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD KEYSTONE",
        "enumeration_date": "2008-05-13",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "610-481-0481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000073270039",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Keystone",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.