Individual
DR. LOUIS JOHN OBOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
575 N RIVER ST, FOURTH FLOOR, WILKES BARRE, PA 18764-0999
(570) 552-4450
(570) 552-4455
Mailing address
PO BOX 1473, KINGSTON, PA 18704-0473
(570) 208-5534
(570) 208-5548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS007508L
PA
208M00000X
Hospitalist Physician
34.0147778
OH
208M00000X
Hospitalist Physician
Primary
OS007508L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014672670006
—
PA
01
—
002999
FIRST PRIORITY HEALTH
PA
01
—
02094397
NY MEDICAL ASSISTANCE
NY
01
—
41116
GEISINGER HEALTH PLAN
PA
01
—
OB143593
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/12/2006
Last updated
10/16/2020
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