GEISINGER SOUTH WILKES BARRE (NPI# 1790811172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790811172 |
| Entity Type | Organization |
| Organization Name | GEISINGER SOUTH WILKES BARRE |
| Practice Address |
25 Church Street Wilkes Barre PA 18765 |
| Mailing Address |
5 Lakeview Dr Moosic PA 18705 |
| Practice Telephone | 5702149763 |
| Mailing Telephone | 5702415642 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | BARBARA TAPSCOTT (VP) |
| Authorized Official Telephone | 5702147993 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEISINGER SOUTH WILKES BARRE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530915 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-01 |
| 1922133446 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765-0999 | 2007-02-23 |
| 1659452613 | Geisinger South Wilkes Barre | General Acute Care Hospital | 25 Church St, Wilkes Barre, PA 18765 | 2006-10-18 |
| 1023068533 | Geisinger South Wilkes Barre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Church St, Wilkes Barre, PA 18765 | 2006-05-12 |
| Street Address |
25 CHURCH STREET |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518933662 | Mary M Azarewicz | Physician Assistant | 25 Church Street, Wilkes Barre, PA 18765 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093839078 | Geisinger Clinic | Physician Assistant | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-16 |
| 1962530915 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-01 |
| 1013098078 | Geisinger South Wilkes-barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2006-10-18 |
| 1659452613 | Geisinger South Wilkes Barre | General Acute Care Hospital | 25 Church St, Wilkes Barre, PA 18765 | 2006-10-18 |
| 1285725309 | John Edmund Edwards | Pharmacist | 25 Church St, Geisinger South Wilkes Barre, Wilkes Barre, PA 18765 | 2006-09-27 |
| 1023068533 | Geisinger South Wilkes Barre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25 Church St, Wilkes Barre, PA 18765 | 2006-05-12 |
| 1033529466 | Jasmine Vincent | Pediatrics | 25 Church St, Wilkes Barre, PA 18765-0001 | 2014-05-07 |
| 1184693384 | Todd J. Holmes | Emergency Medicine | 25 Church St, Wilkes Barre, PA 18765-0001 | 2006-03-17 |
| 1932388535 | Kara L. Settas | Physician Assistant | 25 Church St, Wilkes Barre, PA 18765-0027 | 2007-10-31 |
| 1568989580 | Eric Jenkins | Pharmacist | 25 Church St Fl 4, Wilkes Barre, PA 18765-0999 | 2017-08-30 |
| Find all providers in zip 18765 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447538640 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 620 Baltimore Dr, Wilkes Barre, PA 18702-7959 | 2011-07-22 |
| 1962405894 | Wilkes Barre Asc., Lp | Clinic/Center | 545 N River St, Wilkes Barre, PA 18702-2600 | 2005-05-24 |
| 1457959124 | Geisinger Wyoming Valley | Clinic/Center | 50 Roosevelt Ter, Wilkes Barre, PA 18702-3517 | 2020-10-14 |
| 1881980803 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2011-06-28 |
| 1265728810 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 1130 Highway 315, Wilkes Barre, PA 18702-6952 | 2011-06-22 |
| 1760777106 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 6 Wildflower Dr, Wilkes Barre, PA 18702-7921 | 2011-06-14 |
| 1174822068 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 25 Church St, Wilkes Barre, PA 18702-3507 | 2011-03-18 |
| 1053449009 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2007-03-01 |
| 1962530915 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church St, Wilkes Barre, PA 18765 | 2007-03-01 |
| 1649305129 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2007-02-23 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18765 |
Please comment or provide details below to improve the information on GEISINGER SOUTH WILKES BARRE.
| 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.