LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER, LLC (NPI# 1831230788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831230788 |
| Entity Type | Organization |
| Organization Name | LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER, LLC |
| Other Organization Name | NORTH EAST SURGERY CENTER |
| Practice Address |
423 Scranton Carbondale Hwy Scranton PA 18508-1115 |
| Practice Telephone | 5705586372 |
| Practice Fax Number | 5705589614 |
| Mailing Telephone | 5705586372 |
| Mailing Fax Number | 5705589614 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | SUSAN M. LUCHKO (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 5702072077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
14401500 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GEISINGER | 67993 | 01 |
| PA | AETNA | 2546819 | 01 |
| PA | 001830661 | 05 | |
| PA | MEDPLUS | 118371 | 01 |
| PA | FIRST PRIORITY HEALTH | 812322 | 01 |
| Other Name | Type Code |
|---|---|
| North East Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770769994 | Lackawanna Physicians Ambulatory Surgery Center, LLC | Anesthesiology | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2008-01-17 |
| Street Address |
423 SCRANTON CARBONDALE HWY |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318434 | Kathryn Chesnick | Registered Nurse | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2005-10-03 |
| 1568089118 | Adam Casper | Occupational Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2020-06-30 |
| 1679114110 | Linda Hood | Occupational Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-10-07 |
| 1386295962 | Ashley Reedy | Physical Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-09-24 |
| 1932759313 | Amanda Elizabeth Motil | Physical Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-09-17 |
| 1821645417 | Ashley Rae Mundenar | Physical Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-08-20 |
| 1285195206 | Ashley Ditchey | Physical Therapy Assistant | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-03-31 |
| 1356801344 | Derek Joseph Drasba | Occupational Therapist | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-03-25 |
| 1588176846 | Gordon Reed Baker | Physical Therapy Assistant | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2017-10-26 |
| 1619429131 | Chad Crispell | Physical Therapy Assistant | 423 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588019095 | Reconstructive Dentistry, LLC | Clinic/Center | 327 N Washington Ave Ste 609, Scranton, PA 18503-1539 | 2016-05-03 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1306958103 | Nei Ambulatory Surgery Center Inc PC | Clinic/Center | 204 Mifflin Ave, Scranton, PA 18503 | 2006-08-31 |
| 1124395330 | Scranton Hospital Company LLC | Clinic/Center | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2011-11-17 |
| 1881983039 | Scranton Hospital Company LLC | Clinic/Center | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2011-03-28 |
| 1467592576 | Mercy Hospital Scranton | Clinic/Center | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2007-02-07 |
| 1548235963 | The Scranton Pa Endoscopy Asc Lp | Clinic/Center | 517 Ash St, Suite 1, Scranton, PA 18509-2903 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.