OrganizationActive
Old Forge Wellness LLC
NPI 1649045451 · Internal Medicine Physician · Old Forge, PA
Provider details
- NPI number
- 1649045451
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Slocum, Ceo(570) 774-4171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
821 S Main St Ste 1
Old Forge, PA 18518-1497
Phone: (570) 774-4171
Fax: (570) 457-3220
Street-level locationGet directions
Mailing address
821 S Main St Ste 1
Old Forge, PA 18518-1497
Registry dates
- Enumerated
- 2023-11-21
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.