PENNSYLVANIA PHYSICIAN SERVICES, LLC
NPI 1497059802
Emergency Medicine in Wilkes Barre, PA

Q: What is Pennsylvania Physician Services, LLC's NPI number?

The NPI number for Pennsylvania Physician Services, LLC is 1497059802. It was assigned to this organization in the NPPES registry on December 28, 2010.

Q: What is Pennsylvania Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 28, 2010

575 N RIVER ST, WILKES BARRE, PA 18764(570) 829-8111 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2020, Mar 3, 2017 (2 updates tracked since 2017).

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About Pennsylvania Physician Services, Llc NPPES

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

PENNSYLVANIA PHYSICIAN SERVICES, LLC (NPI 1497059802) is a healthcare organization registered as an emergency medicine in Wilkes Barre, Pennsylvania and active in the NPI registry since December 2010. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1497059802

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePENNSYLVANIA PHYSICIAN SERVICES, LLC

Location Address575 N RIVER STWilkes Barre, PA 18764-0001

Mailing AddressPo Box 21113Belfast, ME 04915-4108 · (770) 874-5400

Phone(570) 829-8111

Organization SubpartNo

Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400

Enumeration DateDecember 28, 2010

Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration

✔ NPI 1497059802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

575 N RIVER ST, Wilkes Barre, PA 18764

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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.

CHERYL CAREY NP

Nurse Practitioner