MEDICARE: POCONO IMAGING PARTNERS, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568541076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POCONO IMAGING PARTNERS, LLP

Provider Business Mailing Address
First Line	:	PO BOX 60
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3005
Country	:	US
Telephone Number	:	570-421-8196
Fax Number	:	570-476-6213

Provider Business Practice Location Address
First Line	:	400 PLAZA COURT
Second Line	:	SUITE C
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3005
Country	:	US
Telephone Number	:	570-420-4100
Fax Number	:	570-476-6213

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. CHARLES T. KEMPF
Credential	:	MD
Telephone Number	:	570-421-8196

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	01/16/2014

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