Pennsylvania Physician Services, LLC
NPI 1497059802ActiveOrganization· Emergency Medicine· Wilkes Barre, PA
Emergency Medicine in Wilkes Barre, Pennsylvania, registered in NPPES in December 2010. The authorized official on file is Kim H. Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497059802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2010 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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