IndividualActive
Samuel Schrack, D.O.
NPI 1114926920 · Family Medicine Physician · Laporte, PA
Provider details
- NPI number
- 1114926920
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS007012E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
217 King Street
Laporte, PA 18626-0095
Phone: (570) 946-5101
Fax: (570) 946-4341
Approximate (ZIP-level) locationGet directions
Mailing address
40 W Wellsboro St
Mansfield, PA 16933-1411
Additional practice locations (2)
- 246 S Main StHughesville, PA 17737-1614Phone: (570) 584-5144Fax: (570) 584-5416
- 701 Northway RdWilliamsport, PA 17701-3813Phone: (570) 327-9110Fax: (570) 327-1181
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.