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COMMUNITY MEDICAL CENTER NPI 1154594687


NPI Information

NPI: 1154594687
Provider Name: COMMUNITY MEDICAL CENTER

Other Name: PHYSICIAN PROVIDERS

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1822 MULBERRY ST
SCRANTON, PA
ZIP 18510
Phone: (570) 558-3500
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COMMUNITY MEDICAL CENTER is a surgery in Scranton, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. COMMUNITY MEDICAL CENTER NPI is 1154594687. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Physician Providers.

The provider's business location address is:

1822 MULBERRY ST
SCRANTON, PA
ZIP 18510-369
Phone: (570) 558-3500
Fax: (570) 558-3513

The provider's authorized official is Ellen Z Perin .
The authorized official title is Financial Director and has the following contact phone number (570) 558-3500.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
32086S0127XSurgeryTrauma SurgeryNo
4208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007456760027MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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