SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC


Address: 746 Jefferson Avenue, Suite 305, Scranton, PA 18510-1639
Phone: 5703421776

SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC (NPI# 1366725418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366725418
Entity Type Organization
Organization Name SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC
Practice Address 746 Jefferson Avenue
Suite 305
Scranton
PA 18510-1639
Mailing Address Po Box 689022
Franklin
TN 37068-9022
Practice Telephone 5703421776
Practice Fax Number 5709630663
Mailing Telephone 6154657632
Mailing Fax Number 6154652885
Enumeration Date 2011-09-26
Last Update Date 2014-06-04
Authorized Official Name SOPHIA ARWOOD (DIRECTOR)
Authorized Official Telephone 6156286038
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Office Location

Street Address 746 JEFFERSON AVENUE
SUITE 305
City SCRANTON
State PA
Zip Code 18510-1639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295730182 Leonard J Denis Internal Medicine 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 2005-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427432335 Marla Osborne Dempsey Family Medicine 1141 Clay Ave Ste 1, Dunmore, PA 18510 2015-07-10
1669620043 Mary Jane Miskovsky Nurse Practitioner 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 2008-08-28
1427174739 Cheryl Friedman Registered Nurse 1710 Mulberry Street, Scranton, PA 18510 2007-03-21
1619092970 Susan Rudalavage Dietitian, Registered 640 Madison Avenue, Scranton, PA 18510 2007-03-19
1851469738 Lackawanna Surgery Center LLC Clinic/Center 415 Adams Avenue, Scranton, PA 18510 2006-12-01
1679666150 Nicholas M. Rocco Nurse Anesthetist, Certified Registered 700 Quincy Ave., Scranton, PA 18510 2006-10-02
1710927587 Care Plus Oxygen, Inc. Durable Medical Equipment & Medical Supplies 1000 Jefferson Ave, Scranton, PA 18510 2006-06-08
1619934189 James M Haggerty Podiatrist 521 Ash Street, Dunmore, PA 18510 2006-04-28
1962461145 Kevin G Madden Psychiatry & Neurology 802 Jefferson Avenue, Scranton, PA 18510 2006-03-17
1720058795 Mark Trently Nurse Anesthetist, Certified Registered 1822 Jmulberry St, Scranton, PA 18510 2006-01-24
Find all providers in zip 18510

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659572733 Kevin H. Olsen M.d. PC Internal Medicine 2603 Stafford Ave, Scranton, PA 18505-3608 2007-05-29
1376634949 Kevin H Olsen Internal Medicine 2603 Stafford Avenue, Scranton, PA 18505-3608 2006-09-27
1295730182 Leonard J Denis Internal Medicine 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 2005-06-16
1306070735 Nishant Sethi Internal Medicine 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 2009-05-13
1588816854 Michelle Diane Spotnitz Internal Medicine 1800 Mulberry Street, Scranton, PA 18510-6800 2008-10-18
1396803938 Richard Edward Gratz Internal Medicine 201 Smallacombe Dr, Scranton, PA 18508-2616 2006-12-05
1659467330 Matthew Martin Stopper Internal Medicine 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 2006-10-04
1679668214 Peter J Cawley Internal Medicine 1800 Mulberry St, Scranton, PA 18510-2369 2006-10-03
1528080116 Joseph Russo Internal Medicine 746 Jefferson Ave, Scranton, PA 18510-1624 2006-07-24
1891785952 David L Lohin Internal Medicine 1800 Mulberry St, Scranton, PA 18510-2369 2005-10-28
Find all providers in SCRANTON

Competitor

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City SCRANTON
Zip Code 18510

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Dataset Information

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.

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