TIOGA HEALTH CARE PROVIDERS, INC (NPI# 1023458882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023458882 |
| Entity Type | Organization |
| Organization Name | TIOGA HEALTH CARE PROVIDERS, INC |
| Other Organization Name | SUSQUEHANNA HEALTH EMERGENCY SVCS AT SOLDIERS AND SAILORS MEM HOSPITAL |
| Practice Address |
32-36 Central Ave Wellsboro PA 16901-1840 |
| Mailing Address |
22 Walnut St Wellsboro PA 16901-1526 |
| Practice Telephone | 5707230100 |
| Mailing Telephone | 5707230600 |
| Mailing Fax Number | 5707242126 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | RONALD M GILBERT (CFO) |
| Authorized Official Telephone | 5707230600 |
| Authorized Official Credential | JR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Susquehanna Health Emergency Svcs at Soldiers and Sailors Mem Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639520760 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Suite, Mansfield, PA 16933-1510 | 2016-06-30 |
| 1457700551 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Mansfield, PA 16933-1510 | 2016-06-09 |
| 1366881476 | Tioga Health Care Providers, Inc | Orthopaedic Surgery | 9 Water St, Wellsboro, PA 16901-1117 | 2013-06-21 |
| 1003255159 | Tioga Health Care Providers, Inc | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2013-06-21 |
| 1932548054 | Tioga Health Care Providers, Inc | Urology | 15 Meade St, Suite U3, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1437598554 | Tioga Health Care Providers, Inc | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1063851194 | Tioga Health Care Providers, Inc | Hospitalist | 103 West Ave, Wellsboro, PA 16901-1358 | 2013-06-21 |
| 1043281603 | Tioga Health Care Providers, Inc | Obstetrics & Gynecology | 15 Meade St, Suite L1, Wellsboro, PA 16901-1813 | 2006-01-31 |
| Street Address |
32-36 CENTRAL AVE |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993744 | Leonard E. Dale II | Radiology | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2005-06-24 |
| 1528681871 | Upmc Wellsboro | Anesthesiology | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2020-05-21 |
| 1336796705 | Rebecca Joy Meyer-warner | Physical Therapist | 32-36 Central Ave, Wellsboro, PA 16901-1899 | 2019-08-21 |
| 1013569516 | Levi Hewitt | Physical Therapy Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-07-15 |
| 1912559469 | Melissa Bruns Taylor | Physical Therapist | 32-36 Central Ave, Wellsboro, PA 16901-1899 | 2019-07-15 |
| 1235799701 | Linda L Whipple Crum | Physical Medicine & Rehabilitation | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-06-17 |
| 1639636533 | Upmc Wellsboro | Physician Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-02-27 |
| 1396232096 | Lisa L Seeley | Nurse Practitioner | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2018-04-18 |
| 1326593278 | Margaret S Frock | Nurse Practitioner | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2016-08-22 |
| 1427501766 | Upmc Wellsboro | General Acute Care Hospital | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073755252 | Perry Wynn Doan Jr. | Emergency Medicine | 32-36 Central Ave, Ssmh - Emergency Department, Wellsboro, PA 16901-1840 | 2009-04-02 |
| 1942218250 | Tioga Health Care Providers, Inc. 5 | Emergency Medicine | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.