Scott Street Medical Group LLC
NPI 1669085544ActiveOrganization· Family Medicine· Wilkes Barre, PA
Family Medicine in Wilkes Barre, Pennsylvania, registered in NPPES in August 2020. The authorized official on file is Elizabeth Waymire, CPC, Credentialing.
Overview
| NPI | 1669085544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Aug 28, 2020 |
| Certified by provider | Aug 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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