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SOUTH SIDE CLINIC
NPI 1659726875
Specialist in Scranton, PA

Active since April 25, 2016
1831 PITTSTON AVE, SCRANTON, PA 18505(570) 507-9517 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Side Clinic NPPES

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

SOUTH SIDE CLINIC (NPI 1659726875) is a healthcare organization registered as a specialist in Scranton, Pennsylvania and active in the NPI registry since April 2016. The organization lists Kathryn Skiles, Billing, as its authorized official.

NPPES Registry Identity

NPI1659726875
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH SIDE CLINIC
Location Address1831 PITTSTON AVEScranton, PA 18505-1651
Mailing Address1831 Pittston AveScranton, PA 18505-1651 · (570) 507-9517
Phone(570) 507-9517
Organization SubpartNo
Authorized OfficialKathryn SkilesBilling · (570) 507-9517
Enumeration DateApril 25, 2016
✔ NPI 1659726875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · 207Q00000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1831 PITTSTON AVE, Scranton, PA 18505
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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 2

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

FAMILY URGENT CARE CLINIC, PLLC
Clinic/Center (Urgent Care)
1831 PITTSTON AVE, LEFT BUILDING
SCRANTON, PA 18505
Lackawanna County (570) 507-9517
CHETHAN BYADGI MD
Internal Medicine
1831 PITTSTON AVE, LEFT BUILDING
SCRANTON, PA 18505
Lackawanna County (570) 507-9517

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 South Side Clinic's NPI number?

The NPI number for South Side Clinic is 1659726875. It was assigned to this organization in the NPPES registry on April 25, 2016.

Where is South Side Clinic located?

South Side Clinic is located at 1831 Pittston Ave, Scranton, PA 18505. The listed phone number is (570) 507-9517.

What is South Side Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Side Clinic was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.