INTERMOUNTAIN MEDICAL GROUP, INC
NPI 1356397673
Family Medicine in Kingston, PA

Q: What is Intermountain Medical Group, Inc's NPI number?

The NPI number for Intermountain Medical Group, Inc is 1356397673. It was assigned to this organization in the NPPES registry on May 26, 2006.

Q: What is Intermountain Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006

610 WYOMING AVE, KINGSTON, PA 18704(570) 288-5441(570) 288-5842 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, Jan 28, 2016 (3 updates tracked since 2016).

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About Intermountain Medical Group, Inc NPPES

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

INTERMOUNTAIN MEDICAL GROUP, INC (NPI 1356397673) is a healthcare organization registered as a family medicine in Kingston, Pennsylvania and active in the NPI registry since May 2006. The organization lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1356397673

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP, INC

Location Address610 WYOMING AVEKingston, PA 18704-3702

Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877

Phone(570) 288-5441

Fax(570) 288-5842

Organization SubpartNo

Authorized OfficialJennifer L JacksonSenior Director Provider Enrollment · (877) 892-9815

Enumeration DateMay 26, 2006

Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2022

✔ NPI 1356397673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X

610 WYOMING AVE, Kingston, PA 18704

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Other Identifiers 3

Other1624037PA · Highmark Blue Shield

Medicaid100755627PA

Other510820PW · Highmark Blue Shield

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

Other Providers at the Same Location NPPES 15

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

COMMONWEALTH PHYSICIAN NETWORK LLC

Internal Medicine

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

CATHERINE CHAMPI CRNP

Nurse Practitioner

610 WYOMING AVE, SUITE 1
KINGSTON, PA 18704

Luzerne County (570) 288-5441

JOHN G. CITTI M.D.

Internal Medicine

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

MARY KATHLEEN KIRCHNER

Physician Assistant

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

CYNTHIA SOLOMON MD

Internal Medicine

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

DURELLE TOWER SCOTT MD

Internal Medicine

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

RICHARD ABRAMOWITZ MD

Internal Medicine (Cardiovascular Disease)

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

DAVID F RIMPLE M.D.

Internal Medicine (Cardiovascular Disease)

610 WYOMING AVE
KINGSTON, PA 18704

Luzerne County (570) 288-5441

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 Intermountain Medical Group, Inc's NPI number?

The NPI number for Intermountain Medical Group, Inc is 1356397673. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Intermountain Medical Group, Inc located?

Intermountain Medical Group, Inc is located at 610 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-5441.

What is Intermountain Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group, Inc 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.