NORTH COUNTRY PHYSICIANS (NPI# 1104953488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104953488 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY PHYSICIANS |
| Practice Address |
15 Meade St Wellsboro PA 16901-1813 |
| Practice Telephone | 5707243744 |
| Practice Fax Number | 5707242459 |
| Mailing Telephone | 5707243744 |
| Mailing Fax Number | 5707242459 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | DR. ANTHONY M NESPOLA (VICE PRESIDENT) |
| Authorized Official Telephone | 5707230746 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTH COUNTRY PHYSICIANS ORGANIZATION, PLLC | 5793 Widewaters Pkwy, Suite 210, Dewitt, Ny 13214 |
| New York State Corporations | NORTH COUNTRY PHYSICIANS' FOUNDATION, INC. | Hancock Daniel & Johnson PC, 5793 Widewaters Pkwy Ste 210, Dewitt, New York 13214 |
| Street Address |
15 MEADE ST |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044256 | David M Cahill | Surgery | 15 Meade St, Ste L5, Wellsboro, PA 16901-1813 | 2005-06-24 |
| 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 |
| 1548609738 | Tioga Health Care Providers Inc | Obstetrics & Gynecology | 15 Meade St, Suite L1, Wellsboro, PA 16901-1813 | 2013-06-20 |
| 1457615197 | Allison A Mcowen | Obstetrics & Gynecology | 15 Meade St, Tioga Ob/gyn Associates, Wellsboro, PA 16901-1813 | 2012-06-27 |
| 1295097699 | Richard F. Black, Dmd., Mph, PC | Clinic/Center | 15 Meade St, Suite U5, Wellsboro, PA 16901-1813 | 2012-06-12 |
| 1730449497 | Richard W. Conley | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2012-05-29 |
| 1881900587 | Tioga Health Care Providers 12 | Urology | 15 Meade St, Suite U3, Wellsboro, PA 16901-1813 | 2010-08-19 |
| 1477743821 | Tioga Health Care Providers 11 | Internal Medicine | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2007-07-31 |
| 1548392012 | Richard F. Black | Dentist | 15 Meade St, Suite U5, Wellsboro, PA 16901-1813 | 2007-03-11 |
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| 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 |
| 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 |
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|---|---|---|---|---|
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| 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.