LAKE SCRANTON URGENT CARE LLC (NPI# 1194186957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194186957 |
| Entity Type | Organization |
| Organization Name | LAKE SCRANTON URGENT CARE LLC |
| Practice Address |
1141 Moosic St Suite 3 Scranton PA 18505-2105 |
| Practice Telephone | 5708005926 |
| Practice Fax Number | 5709555556 |
| Mailing Telephone | 5708005926 |
| Mailing Fax Number | 5709555556 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | BRIANNE BALCHUNE (OFFICE MANAGER) |
| Authorized Official Telephone | 5708005926 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
1141 MOOSIC ST SUITE 3 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18505-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235332263 | Jill Kissolovege | Internal Medicine | 1141 Moosic St, Ste 3, Scranton, PA 18505-2105 | 2007-06-07 |
| 1609145309 | Corinna Jay Kirkpatrick | Physician Assistant | 1141 Moosic St, Scranton, PA 18505-2105 | 2011-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927998 | Gary Chee Seng Oh | Student in an Organized Health Care Education/Training Program | 501 S. Washintgon Avenue, Scranton, PA 18505 | 2020-06-24 |
| 1851915813 | Usman Amjia Manzoor | Student in an Organized Health Care Education/Training Program | 501 South Washintgon Avenue, Scranton, PA 18505 | 2020-06-04 |
| 1396368791 | Navharsh Kaur Sekhon | Student in an Organized Health Care Education/Training Program | 501 S, Washington Avenue, Scranton, PA 18505 | 2020-05-20 |
| 1275154395 | Yamini Indravadan Patel | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-29 |
| 1225659584 | Raza Naseer | Student in an Organized Health Care Education/Training Program | 501 S. Washington Avenue, Scranton, PA 18505 | 2020-04-28 |
| 1932720307 | Mohammad Asim Amjad | Student in an Organized Health Care Education/Training Program | 501 South Washington Avenue, Scranton, PA 18505 | 2020-04-27 |
| 1033739404 | Amina Khan | Student in an Organized Health Care Education/Training Program | 501 S Washington Avenue, Scranton, PA 18505 | 2020-04-25 |
| 1245862259 | Princy Kanakkumar Shah | Internal Medicine | Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 | 2020-02-07 |
| 1902363005 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 628 Genet Street, Scranton, PA 18505 | 2019-02-25 |
| 1629596242 | Morgan Aubrey Yackey | Social Worker | 1509 Maple St., Scranton, PA 18505 | 2017-09-04 |
| Find all providers in zip 18505 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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|---|---|---|---|---|
| 1962022574 | Nurse Practitioners of The Valley, LLC | Clinic/Center | 3910 Adler Pl Ste 135, Bethlehem, PA 18017-9299 | 2020-04-23 |
| 1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
| 1447891452 | On Demand Urgent Care Group, PC | Clinic/Center | 3626 Street Rd, Bensalem, PA 19020-1507 | 2019-10-01 |
| 1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
| 1558917120 | All American Urgent Care, P.C. | Clinic/Center | 780 N Krocks Rd Ste 101, Allentown, PA 18106-9075 | 2019-08-10 |
| 1477118420 | Mhp Cheltenham LLC | Clinic/Center | 2401 W Cheltenham Ave Ste 132, Wyncote, PA 19095-2953 | 2019-05-06 |
| 1053873091 | Summit Physician Services | Clinic/Center | 24 Antrim Commons Drive, Greencastle, PA 17225-1623 | 2019-04-01 |
| 1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
| 1043797160 | Urgent Care Travel, Inc | Clinic/Center | 1501 Harrisburg Pike, Carlisle, PA 17015-7306 | 2018-07-21 |
| 1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.