Main Street Medical Center Inc
NPI 1063561041 · Internal Medicine Physician · Shenandoah, PA
Main Street Medical Center Inc is a Internal Medicine Physician organization in Shenandoah, PA (NPI 1063561041).
Provider details
- NPI number
- 1063561041
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adolph Wychulis, Owner(570) 462-1033
- License
- MD418365 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Main Street Medical Center Inc's NPI number?
- Main Street Medical Center Inc's National Provider Identifier (NPI) is 1063561041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical Center Inc?
- Main Street Medical Center Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Main Street Medical Center Inc located?
- Main Street Medical Center Inc's practice location on file with NPPES is 24 South Main Street, Shenandoah, PA 17976.
- What is Main Street Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical Center Inc is (570) 462-1033.
- Who is the authorized official for Main Street Medical Center Inc?
- The authorized official listed on Main Street Medical Center Inc's NPPES record is Adolph Wychulis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical Center Inc's NPI active?
- Yes — Main Street Medical Center Inc's NPI (1063561041) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.