GEISINGER SOUTH WILKES BARRE (NPI# 1962530915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962530915 |
| Entity Type | Organization |
| Organization Name | GEISINGER SOUTH WILKES BARRE |
| Practice Address |
25 Church St Wilkes Barre PA 18765 |
| Mailing Address |
5 Lakeview Dr Moosic PA 18705 |
| Practice Telephone | 5702149763 |
| Mailing Telephone | 5702415642 |
| Enumeration Date | 2007-03-01 |
| 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 |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DME | 6863620001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811172 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church Street, Wilkes Barre, PA 18765 | 2007-02-27 |
| 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 ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008005 | Jennifer Everding | Nurse Practitioner | 25 Church St, Wilkes Barre, PA 18765-0999 | 2020-09-22 |
| 1265062574 | Amy Lynne Lewan | Nurse Practitioner | 25 Church St, Wilkes Barre, PA 18765-0999 | 2020-01-26 |
| 1659918423 | Sarah Flannery | Physical Therapy Assistant | 25 Church St, Wilkes Barre, PA 18765-0999 | 2019-11-29 |
| 1760032957 | Emily Rose Kneeream | Pharmacist | 25 Church St, Wilkes Barre, PA 18702-3507 | 2019-09-19 |
| 1710536255 | Michael Dimaggio | Pharmacist | 25 Church St, Wilkes Barre, PA 18765-0999 | 2019-09-07 |
| 1952959660 | Kaitlyn Rose Slaff | Pharmacist | 25 Church St, Wilkes Barre, PA 18765-0999 | 2019-08-27 |
| 1033765409 | Sarah Ann Brown | Registered Nurse | 25 Church St, Wilkes Barre, PA 18702-3507 | 2019-08-12 |
| 1053876144 | Sarah L Ganly | Nurse Practitioner | 25 Church St, Wilkes Barre, PA 18702-3507 | 2019-02-04 |
| 1962992792 | Ami Lynn Price | Registered Nurse | 25 Church St, Wilkes Barre, PA 18702-3507 | 2018-05-17 |
| 1255852646 | Nicole Najaka | Physical Therapist | 25 Church St, Wilkes Barre, PA 18765-0999 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518933662 | Mary M Azarewicz | Physician Assistant | 25 Church Street, Wilkes Barre, PA 18765 | 2006-02-28 |
| 1790811172 | Geisinger South Wilkes Barre | Clinic/Center | 25 Church Street, Wilkes Barre, PA 18765 | 2007-02-27 |
| 1568989580 | Eric Jenkins | Pharmacist | 25 Church St Fl 4, Wilkes Barre, PA 18765-0999 | 2017-08-30 |
| 1538504949 | Vipul Sharma | Family Medicine | 25 Church St., Wilkes-barre, PA 18765-3507 | 2013-04-30 |
| 1801139233 | Vijay Sriraj Madhurapantula | Family Medicine | 25 Church St., Wilkes-barre, PA 18765-7701 | 2013-04-04 |
| 1245782374 | Arianne Carissa Schott | Physician Assistant | 25 Church St., Wilkes Barre, PA 18765-7804 | 2016-10-24 |
| 1346472057 | Tracy L Rockefeller | Nurse Practitioner | 8 Church Street Medical Office Bldg 4th Floor, Wilkes Barre, PA 18765-9378 | 2009-08-13 |
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626922 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 335 S Franklin St Ste 130, Wilkes Barre, PA 18702-3808 | 2016-01-14 |
| 1205197894 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2012-05-31 |
| 1508160938 | Blackstone Healthcare LLC | Durable Medical Equipment & Medical Supplies | 49 Dana St, Wilkes Barre, PA 18702-4301 | 2010-12-28 |
| 1952639056 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 400 Wlkes Bar Twp Blvd, Wilkes Barre, PA 18702-6604 | 2009-12-01 |
| 1508050600 | Balester Optical Company | Durable Medical Equipment & Medical Supplies | 388 N River St, Wilkes Barre, PA 18702-2504 | 2007-08-31 |
| 1568676930 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 563 Carey Ave, Columbia Ancillary Services Inc, Wilkes Barre, PA 18703 | 2007-05-09 |
| 1912022633 | A1 Mobility Products | Durable Medical Equipment & Medical Supplies | 180 Wilkes Plaza, Wilkes Barre, PA 18702 | 2007-03-20 |
| 1568524585 | Hill-rom Company, Inc | Durable Medical Equipment & Medical Supplies | 230 Johnson St, Wilkes Barre, PA 18702-7435 | 2006-12-15 |
| 1730247669 | Independent Mobility | Durable Medical Equipment & Medical Supplies | 147 1/2 Amber Ln, Wilkes Barre, PA 18702-6545 | 2006-12-04 |
| 1295809168 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 176 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6704 | 2006-11-20 |
| 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.