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SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICE
NPI 1164439006
Internal Medicine in Jermyn, PA

Active since August 02, 2006
5 S. WASHINGTON AVE, JERMYN, PA 18433(570) 383-9934(570) 383-6258 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scranton Temple Residency Program Faculty Service NPPES

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

SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICE (NPI 1164439006) is a healthcare organization registered as an internal medicine in Jermyn, Pennsylvania and active in the NPI registry since August 2006. The organization lists Elidoru Primpro, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1164439006
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICE
Location Address5 S. WASHINGTON AVEJermyn, PA 18433
Mailing Address746 Jefferson AvenueScranton, PA 18510 · (570) 343-2383 · Fax (570) 963-6133
Phone(570) 383-9934
Fax(570) 383-6258
Organization SubpartNo
Authorized OfficialElidoru PrimproChief Financial Officer · (570) 941-0630
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1164439006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · SP007899
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 S. WASHINGTON AVE, Jermyn, PA 18433
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Other Identifiers 1

Medicare ID-Type Unspecified083807

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Scranton Temple Residency Program Faculty Service's NPI number?

The NPI number for Scranton Temple Residency Program Faculty Service is 1164439006. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Scranton Temple Residency Program Faculty Service located?

Scranton Temple Residency Program Faculty Service is located at 5 S. Washington Ave, Jermyn, PA 18433. The listed phone number is (570) 383-9934.

What is Scranton Temple Residency Program Faculty Service's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Scranton Temple Residency Program Faculty Service was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.