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SCOTT STREET MEDICAL GROUP LLC
NPI 1669085544
Family Medicine in Wilkes Barre, PA

Active since August 28, 2020
500 SCOTT ST, WILKES BARRE, PA 18702(570) 824-1700(570) 270-9060 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Street Medical Group Llc NPPES

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

SCOTT STREET MEDICAL GROUP LLC (NPI 1669085544) is a healthcare organization registered as a family medicine in Wilkes Barre, Pennsylvania and active in the NPI registry since August 2020. The organization lists Elizabeth Waymire, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1669085544
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTT STREET MEDICAL GROUP LLC
Location Address500 SCOTT STWilkes Barre, PA 18702-5616
Mailing Address500 Scott StWilkes Barre, PA 18702-5616 · (570) 824-1700 · Fax (570) 270-9060
Phone(570) 824-1700
Fax(570) 270-9060
Organization SubpartNo
Authorized OfficialElizabeth WaymireCredentialing · (570) 693-6163
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1669085544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
500 SCOTT ST, Wilkes Barre, PA 18702
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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 8

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

DR. LAWRENCE JOEL GRILL M.D.
Internal Medicine
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-1700
GEISINGER COMMUNITY HEALTH SERVICES
Clinic/Center (Occupational Medicine)
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-7870
MS. SUSAN A. MAILLE PA-C
Physician Assistant
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-7870
DR. CATHERINE M. RAINEY M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 829-7870
JUDGE AND TOOLE EYE CARE
Optometrist
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 704-0300
DR. MICHAEL J GRASSO MD
Internal Medicine
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-1700
ERNEST JULIUS MD
Family Medicine
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-1700
DINESHKUMAR CHIMANLAL TALATI MD
Internal Medicine (Pulmonary Disease)
500 SCOTT ST
WILKES BARRE, PA 18702
Luzerne County (570) 208-8943

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 Scott Street Medical Group LLC's NPI number?

The NPI number for Scott Street Medical Group LLC is 1669085544. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Scott Street Medical Group LLC located?

Scott Street Medical Group LLC is located at 500 Scott St, Wilkes Barre, PA 18702. The listed phone number is (570) 824-1700.

What is Scott Street Medical Group LLC'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 Scott Street Medical Group LLC was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.