Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Bariatric Surgery Institute, Inc

Organization Surgery Physician · NPI 1417078320

Northern Bariatric Surgery Institute, Inc provides Surgery Physician services in Peckville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Main St Mvh Professional Services Bldg
Peckville, PA 18452-2009
Phone: (570) 969-2527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS004198L (PA)

Record details

NPI number1417078320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Peters — President · (570) 969-2527
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address114 Ren Acres, Clarks Summit, PA 18411-9415