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SLEEP DISORDER CENTER OF WYOMING VALLEY NPI 1194834606


NPI Information

NPI: 1194834606
Provider Name: SLEEP DISORDER CENTER OF WYOMING VALLEY
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
1065 HIGHWAY 315
SUITE 202
WILKES BARRE, PA
ZIP 18702
Phone: (570) 829-6900
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SLEEP DISORDER CENTER OF WYOMING VALLEY is a sleep medicine internal medicine in Wilkes Barre, PA. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SLEEP DISORDER CENTER OF WYOMING VALLEY NPI is 1194834606. The provider is registered as an organization entity type.

The provider's business location address is:

1065 HIGHWAY 315
SUITE 202
WILKES BARRE, PA
ZIP 18702-941
Phone: (570) 829-6900
Fax: (570) 829-0122

The provider's authorized official is Robert Potorski .
The authorized official title is President and has the following contact phone number (570) 288-5441.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/12/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticNo
2207RS0012XInternal MedicineSleep MedicineMD034081EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1076210MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

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