OPEN ARMS INTERNAL MEDICINE & PEDIATRICS PC NPI 1154834927

NPI Information

  • NPI: 1154834927
  • Provider Name: OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 39D2144886
  • Address: 3155 LYCOMING CREEK RD
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 244-1877

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NPI Details

OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC is a multi-specialty clinic center in Williamsport, PA. OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC NPI is 1154834927. The provider is registered as an organization entity type.

The provider's business location address is:

3155 LYCOMING CREEK RD
WILLIAMSPORT, PA
ZIP 17701-032
Phone: (570) 244-1877

The provider's authorized official is Russell Lewis Gombosi .
The authorized official title is Owner and has the following contact phone number (570) 244-1877.

The CLIA number assigned to this NPI record is 39D2144886 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

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
1261QM1300XClinic/CenterMulti-SpecialtyMD043621LPENNSYLVANIAYes

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
11528078433OTHERPENNSYLVANIAINDIVIDUAL NPI

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: 3/30/2025

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