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

Wilkes-Barre Clinic Company LLC

Organization Neurological Surgery Physician · NPI 1144533670

Wilkes-Barre Clinic Company LLC is a Neurological Surgery Physician in Wilkes Barre, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
Specialties on file
3
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

575 N River St
Wilkes Barre, PA 18702-2634
Phone: (570) 552-1300
Fax: (570) 552-1498
Show map & directions

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

Additional practice locations (1)

  • 468 Northampton St, Kingston, PA 18704-4566 — (570) 552-4720

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Neurological Surgery Physician Taxonomy 207T00000X (PA)
Surgical Oncology Physician Taxonomy 2086X0206X (PA)

Record details

NPI number1144533670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Senior Director Provider Enrollment · (877) 892-9815
NPI enumeratedJuly 26, 2010
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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