MAIN STREET PEDIATRICS OF GREATER SCRANTON
NPI 1881253011
Pediatrics - Adolescent Medicine in Dickson City, PA

Q: What is Main Street Pediatrics Of Greater Scranton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since June 11, 2019

247 MAIN ST # PA, DICKSON CITY, PA 18519(570) 291-4180(570) 586-3953 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Main Street Pediatrics Of Greater Scranton NPPES

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

MAIN STREET PEDIATRICS OF GREATER SCRANTON (NPI 1881253011) is a healthcare organization registered as an adolescent medicine in Dickson City, Pennsylvania and active in the NPI registry since June 2019. The organization lists Annie Mcdonough, Office Mgr., as its authorized official.

NPPES Registry Identity

NPI1881253011

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameMAIN STREET PEDIATRICS OF GREATER SCRANTON

Location Address247 MAIN ST # PADickson City, PA 18519-1641

Mailing Address247 Main St # PaDickson City, PA 18519-1641 · (570) 291-4180 · Fax (570) 586-3953

Phone(570) 291-4180

Fax(570) 586-3953

Organization SubpartNo

Authorized OfficialAnnie McdonoughOffice Mgr. · (570) 291-4180

Enumeration DateJune 11, 2019

✔ NPI 1881253011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

247 MAIN ST # PA, Dickson City, PA 18519

Open in Google Maps ↗

Other Identifiers 1

Medicaid0011992910003PA

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

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 Main Street Pediatrics Of Greater Scranton's NPI number?

The NPI number for Main Street Pediatrics Of Greater Scranton is 1881253011. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Main Street Pediatrics Of Greater Scranton located?

Main Street Pediatrics Of Greater Scranton is located at 247 Main St # PA, Dickson City, PA 18519. The listed phone number is (570) 291-4180.

What is Main Street Pediatrics Of Greater Scranton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Main Street Pediatrics Of Greater Scranton was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.