CARBONDALE PEDIATRIC CENTER
NPI 1336416619
Pediatrics in Carbondale, PA

Active since November 30, 2011
152 BROOKLYN ST, CARBONDALE, PA 18407(570) 282-2031(570) 282-2534 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carbondale Pediatric Center NPPES

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

CARBONDALE PEDIATRIC CENTER (NPI 1336416619) is a healthcare organization registered as a pediatrics in Carbondale, Pennsylvania and active in the NPI registry since November 2011. The organization lists Frederick Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336416619
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Location Address152 BROOKLYN STCarbondale, PA 18407-2208
Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 253-8226 · Fax (570) 253-8228
Fax(570) 282-2534
Organization SubpartNo
Authorized OfficialFrederick JacksonExecutive Director · (570) 253-8450
Enumeration DateNovember 30, 2011
NPI 1336416619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

152 BROOKLYN ST, Carbondale, PA 18407

Other Names 1

Doing Business AsCarbondale Pediatric Center

Other Identifiers 1

Medicaid100773665PA

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 Wayne Memorial Community Health Centers's NPI number?

The NPI number for Wayne Memorial Community Health Centers is 1336416619. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Carbondale Pediatric Center.

Where is Wayne Memorial Community Health Centers located?

Wayne Memorial Community Health Centers is located at 152 Brooklyn St, Carbondale, PA 18407. The listed phone number is (570) 282-2031.

What is Wayne Memorial Community Health Centers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Wayne Memorial Community Health Centers was last updated on November 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.