Intermountain Medical Group, Inc
NPI 1356397673 · Family Medicine Physician · Kingston, PA
Intermountain Medical Group, Inc is a Family Medicine Physician organization in Kingston, PA (NPI 1356397673).
Provider details
- NPI number
- 1356397673
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Senior Director Provider Enrollment(877) 892-9815
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Profile Score
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
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
- 2006-05-26
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Intermountain Medical Group, Inc's NPI number?
- Intermountain Medical Group, Inc's National Provider Identifier (NPI) is 1356397673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intermountain Medical Group, Inc?
- Intermountain Medical Group, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Intermountain Medical Group, Inc located?
- Intermountain Medical Group, Inc's practice location on file with NPPES is 610 Wyoming Ave, Kingston, PA 18704-3702.
- What is Intermountain Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Intermountain Medical Group, Inc is (570) 288-5441.
- Who is the authorized official for Intermountain Medical Group, Inc?
- The authorized official listed on Intermountain Medical Group, Inc's NPPES record is Jennifer Jackson, Senior Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intermountain Medical Group, Inc's NPI active?
- Yes — Intermountain Medical Group, Inc's NPI (1356397673) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.