KINGSTON SURGERY CENTER
NPI 1245203405
Clinic/Center - Ambulatory Surgical in Kingston, PA

Active since February 08, 2006
601 WYOMING AVE, KINGSTON, PA 18704(570) 288-7405(570) 714-0419 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kingston Surgery Center NPPES

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

KINGSTON SURGERY CENTER (NPI 1245203405) is a healthcare organization registered as an ambulatory surgical in Kingston, Pennsylvania and active in the NPI registry since February 2006. The organization lists Phillip A Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1245203405
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKINGSTON OPHTHALMOLOGY ASC LLC
Location Address601 WYOMING AVEKingston, PA 18704-3701
Mailing Address601 Wyoming AveKingston, PA 18704-3701 · (570) 288-7405 · Fax (570) 714-0419
Fax(570) 714-0419
Organization SubpartNo
Authorized OfficialPhillip A ClendeninPresident · (615) 665-1283
Enumeration DateFebruary 8, 2006
Last NPPES UpdateSeptember 7, 2023
NPI 1245203405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in PA · 94941500
601 WYOMING AVE, Kingston, PA 18704

Other Names 1

Doing Business AsKingston Surgery Center

Other Identifiers 5

Other490003620PA · Railroad Medicare
Other001696312001PA · Medical Assistance
Medicaid01835908PA
Other804568PA · First Priority Health
Other999035PA · Blue Cross

Other Providers at the Same Location NPPES 19

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

Audiologist
601 WYOMING AVE
KINGSTON, PA 18704
Psychologist
601 WYOMING AVE
KINGSTON, PA 18704
Social Worker
601 WYOMING AVE
KINGSTON, PA 18704
Psychologist
601 WYOMING AVE
KINGSTON, PA 18704
Nurse Anesthetist, Certified Registered
601 WYOMING AVE
KINGSTON, PA 18704
Audiologist-Hearing Aid Fitter
601 WYOMING AVE
KINGSTON, PA 18704
Nurse Practitioner
601 WYOMING AVE
KINGSTON, PA 18704
Audiologist
601 WYOMING AVE
KINGSTON, PA 18704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245203405, enumerated as an "organization" on February 08, 2006.

The provider is located at 601 WYOMING AVE KINGSTON, PA 18704 and the phone number is (570) 288-7405.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.