UPMC WELLSBORO (NPI# 1962754895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962754895 |
| Entity Type | Organization |
| Organization Name | UPMC WELLSBORO |
| Other Organization Name | SOLDIERS AND SAILORS MEMORIAL HOSPITAL RADIOLOGY |
| Practice Address |
32-36 Central Ave Radiology Department Wellsboro PA 16901-1840 |
| Mailing Address |
600 Grant Street, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 5707230160 |
| Practice Fax Number | 5707242126 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | JANIE M HILFIGER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5707241631 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC WELLSBORO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Soldiers and Sailors Memorial Hospital Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275090433 | Upmc Wellsboro | Anesthesiology | 103 West Ave Ste 203, Wellsboro, PA 16901-1311 | 2019-02-25 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1528681871 | Upmc Wellsboro | Anesthesiology | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2020-05-21 |
| 1639636533 | Upmc Wellsboro | Physician Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-02-27 |
| 1427501766 | Upmc Wellsboro | General Acute Care Hospital | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2016-08-03 |
| 1457623316 | Upmc Wellsboro | Ambulance | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2012-02-07 |
| 1235294422 | Upmc Wellsboro | Pharmacy | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2006-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPMC WELLSBORO | 32-36 Central Ave, Wellsboro, PA 16901-1840 |
| Street Address |
32-36 CENTRAL AVE RADIOLOGY DEPARTMENT |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1538621032 | Vincera Imaging LLC | Clinic/Center | 1200 Constitution Ave Ste 120, Philadelphia, PA 19112-1323 | 2019-04-03 |
| 1215475090 | World Wellness Health Institute | Clinic/Center | 111 Presidential Blvd Ste 159, Bala Cynwyd, PA 19004-1005 | 2017-02-01 |
| 1851842355 | Infinity Care Inc | Clinic/Center | 4 Averstone Ct, Holland, PA 18966-2610 | 2016-10-19 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1467606558 | Sherry S Shang LLC | Clinic/Center | 384 Yorkshire Rd, Bryn Mawr, PA 19010-1216 | 2008-11-17 |
| 1386812196 | James Dennis Flynn | Clinic/Center | 6599 Town Center Blvd Apt 423, James Dennis Flynn, Huntingdon, PA 16652 | 2008-02-14 |
| 1831371152 | Futura Health System | Clinic/Center | 1300 Chestnut St, Suite 305, Philadelphia, PA 19107-4513 | 2007-11-28 |
| 1598961930 | Pmx Provider Services Corporation | Clinic/Center | 501 Gainsboro Road, Drexel Hill, PA 19026-1213 | 2007-06-22 |
| 1215132709 | Us Vascular Access Center of Philadelphia, LLC | Clinic/Center | 4220 Market St, Second Floor, Philadelphia, PA 19104-3007 | 2007-06-15 |
| 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.