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WILKES-BARRE CLINIC COMPANY LLC
NPI 1144533670
Surgery in Wilkes Barre, PA

Active since July 26, 2010
575 N RIVER ST, WILKES BARRE, PA 18702(570) 552-1300(570) 552-1498 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Sep 21, 2021 (2 updates tracked since 2021).

About Wilkes-barre Clinic Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILKES-BARRE CLINIC COMPANY LLC (NPI 1144533670) is a healthcare organization registered as a surgery in Wilkes Barre, Pennsylvania and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Kingston and lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1144533670
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWILKES-BARRE CLINIC COMPANY LLC
Location Address575 N RIVER STWilkes Barre, PA 18702-2634
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Phone(570) 552-1300
Fax(570) 552-1498
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director Provider Enrollment · (877) 892-9815
Enumeration DateJuly 26, 2010
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1144533670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
575 N RIVER ST, Wilkes Barre, PA 18702
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Secondary Practice Location 1

Location 1468 Northampton St, Ste 9Kingston, PA 18704-4566 · Phone (570) 552-4720 · Fax (570) 552-4725

Other Identifiers 1

Medicaid102514239PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FAROOK K SHROFF M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
DR. JOSHUA JOSEPH GOTTFRIED D.O.
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
WILKES BARRE HOSPITAL COMPANY LLC
Rehabilitation Unit
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
FAROOK K SHROFF MD
Internal Medicine (Cardiovascular Disease)
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
WILKES BARRE HOSPITAL COMPANY LLC
General Acute Care Hospital
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
WYOMING VALLEY PATHOLOGY ASSOCIATES
Pathology (Clinical Pathology/Laboratory Medicine)
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 552-1435
COLLEEN DANIELS
Nurse Anesthetist, Certified Registered
575 N RIVER ST, ANESTHESIA DEPT
WILKES BARRE, PA 18702
Luzerne County (570) 829-8111
MR. TYLER HAMMOND
Registered Nurse
575 N RIVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 552-1003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilkes-Barre Clinic Company LLC's NPI number?

The NPI number for Wilkes-Barre Clinic Company LLC is 1144533670. It was assigned to this organization in the NPPES registry on July 26, 2010.

Where is Wilkes-Barre Clinic Company LLC located?

Wilkes-Barre Clinic Company LLC is located at 575 N River St, Wilkes Barre, PA 18702. The listed phone number is (570) 552-1300.

What is Wilkes-Barre Clinic Company LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Wilkes-Barre Clinic Company LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wilkes-Barre Clinic Company LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilkes-Barre Clinic Company LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.