TIOGA HEALTH CARE PROVIDERS, INC (NPI# 1063851194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063851194 |
| Entity Type | Organization |
| Organization Name | TIOGA HEALTH CARE PROVIDERS, INC |
| Other Organization Name | SUSQUEHANNA HEALTH INTERNAL MEDICINE AT WELLSBORO |
| Practice Address |
103 West Ave Wellsboro PA 16901-1358 |
| Mailing Address |
22 Walnut St Wellsboro PA 16901-1526 |
| Practice Telephone | 5707243744 |
| Practice Fax Number | 5707242459 |
| Mailing Telephone | 5707230600 |
| Mailing Fax Number | 5707242126 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | RONALD M GILBERT JR. (CFO) |
| Authorized Official Telephone | 5707230600 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUSQUEHANA HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Susquehanna Health Internal Medicine at Wellsboro | 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 |
| 1023458882 | Tioga Health Care Providers, Inc | Physician Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2013-06-26 |
| 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 |
| 1043281603 | Tioga Health Care Providers, Inc | Obstetrics & Gynecology | 15 Meade St, Suite L1, Wellsboro, PA 16901-1813 | 2006-01-31 |
| Street Address |
103 WEST AVE |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435653 | North Central Penn Podiatry PC | Podiatrist | 103 West Ave, Wellsboro, PA 16901-1358 | 2005-08-23 |
| 1487130753 | Judith Tubbs | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2018-07-19 |
| 1316355696 | Olivia Mays | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2014-07-30 |
| 1174839849 | Christopher Anthony Domarew | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2010-08-19 |
| 1457556862 | Walter John Laibinis Jr. | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2007-06-15 |
| 1043392020 | North Penn Comprehensive Health Services | Clinic/Center | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-10-19 |
| 1346253796 | Paul Latzko | Family Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-08-15 |
| 1447263462 | Daria Helena Lin-guelig | Physician Assistant | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-14 |
| 1861405912 | Karen Usavage | Nurse Practitioner | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-13 |
| 1245270180 | James Edward Manning Iv | Psychiatry & Neurology | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-06-08 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710089925 | John M Terry | Internal Medicine | 58 West Ave, Wellsboro, PA 16901-1336 | 2006-09-01 |
| 1174839849 | Christopher Anthony Domarew | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2010-08-19 |
| 1477743821 | Tioga Health Care Providers 11 | Internal Medicine | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2007-07-31 |
| 1457556862 | Walter John Laibinis Jr. | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2007-06-15 |
| 1801923115 | Anthony M Nespola | Internal Medicine | 15 Meade St, Wellsboro, PA 16901-1813 | 2007-02-27 |
| 1104953488 | North Country Physicians | Internal Medicine | 15 Meade St, Wellsboro, PA 16901-1813 | 2007-02-27 |
| 1528078433 | Russell Lewis Gombosi | Internal Medicine | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2006-08-09 |
| 1992790711 | Jill A. Burns | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976092 | Upmc Community Medicine, Inc | Internal Medicine | 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 | 2020-09-11 |
| 1386256881 | Vpa PC | Internal Medicine | 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 | 2020-08-18 |
| 1609485168 | Allegheny Clinic | Internal Medicine | 1748 Jancey Street, Pittsburgh, PA 15206-1100 | 2020-07-30 |
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1881212199 | Mobile Doctors | Internal Medicine | 925 E Butter Rd, York, PA 17406-6019 | 2020-07-13 |
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
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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.