Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pennsylvania Physician Services, LLC

Organization Emergency Medicine Physician · NPI 1497059802

Pennsylvania Physician Services, LLC is an Emergency Medicine Physician in Wilkes Barre, Pennsylvania. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

575 N River St
Wilkes Barre, PA 18764-0001
Phone: (570) 829-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1497059802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedDecember 28, 2010
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 21113, Belfast, ME 04915-4108

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