Lackawanna Medical Group PC
NPI 1770650962ActiveOrganization· Internal Medicine· Scranton, PA
Internal Medicine in Scranton, Pennsylvania, registered in NPPES in November 2006. The authorized official on file is Charles Thomas Grad, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770650962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Mar 3, 2016 |
Specialties and licenses
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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