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

Scott Street Medical Group LLC

Organization Family Medicine Physician · NPI 1669085544

Scott Street Medical Group LLC is a Family Medicine Physician in Wilkes Barre, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Scott St
Wilkes Barre, PA 18702-5616
Phone: (570) 824-1700
Fax: (570) 270-9060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Internal Medicine Physician Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1669085544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Waymire — Credentialing · (570) 693-6163
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address500 Scott St, Wilkes Barre, PA 18702-5616

Other providers in Wilkes Barre