NORTHEASTERN SURGICAL SPECIALTY GROUP INC
NPI 1457381113
Surgery in Forty Fort, PA

Q: What is Northeastern Surgical Specialty Group Inc's specialty?

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

Active since July 05, 2006

190 WELLES ST, FORTY FORT, PA 18704(570) 283-2323(570) 283-1290 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Northeastern Surgical Specialty Group Inc NPPES

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

NORTHEASTERN SURGICAL SPECIALTY GROUP INC (NPI 1457381113) is a healthcare organization registered as a surgery in Forty Fort, Pennsylvania and active in the NPI registry since July 2006. The organization lists Dan F Kopen, President, as its authorized official.

NPPES Registry Identity

NPI1457381113

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTHEASTERN SURGICAL SPECIALTY GROUP INC

Location Address190 WELLES STForty Fort, PA 18704-4968

Mailing Address190 Welles StForty Fort, PA 18704-4968 · (570) 283-2323 · Fax (570) 283-1290

Phone(570) 283-2323

Fax(570) 283-1290

Organization SubpartNo

Authorized OfficialDan F KopenPresident · (570) 283-2323

Enumeration DateJuly 5, 2006

Last NPPES UpdateNovember 1, 2012

✔ NPI 1457381113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

190 WELLES ST, Forty Fort, PA 18704

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Other Identifiers 11

Other190358PA · Highmark Blue Shield

Other88381PA · United Healthcare

OtherB34409PA · Sterling

Other072571PA · First Priority

Medicaid0010907280003PA

Other7227PA · Geisinger Health Plan

Medicare PINCL6001PA

Other25126PA · Health America

Other876894PA · Coventry

Other61472PA · Aetna Us Healthcare

Medicare PIN190358PA

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

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.

ANDREW T TURRISI III MD

Radiology (Radiation Oncology)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 714-8686

DR. LOUIS R. SIEMINSKI PH.D.

Audiologist-Hearing Aid Fitter

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 287-8649

DIAGNOSTIC BREAST CENTER, INC.

Surgery

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 718-6690

MELISSA MIKOVITCH CRNP

Nurse Practitioner (Family)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 718-4140

JOHN DELLA ROSA, MD

Psychiatry & Neurology (Neurology)

190 WELLES ST, SUITE 114
FORTY FORT, PA 18704

Luzerne County (570) 331-2655

RADIATION MEDICINE SPECIALISTS OF NORTHEAST PENNSYLVANIA P C

Radiology (Radiation Oncology)

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 714-8686

KARI MARIE YOUNGBLOOD DPT

Physical Therapist

190 WELLES ST, SUITE 166
FORTY FORT, PA 18704

Luzerne County (570) 714-4177

VALLEY ENT, P.C.

Specialist

190 WELLES ST
FORTY FORT, PA 18704

Luzerne County (570) 283-0524

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 Northeastern Surgical Specialty Group Inc's NPI number?

The NPI number for Northeastern Surgical Specialty Group Inc is 1457381113. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Northeastern Surgical Specialty Group Inc located?

Northeastern Surgical Specialty Group Inc is located at 190 Welles St, Forty Fort, PA 18704. The listed phone number is (570) 283-2323.

What is Northeastern Surgical Specialty Group Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Northeastern Surgical Specialty Group Inc was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.