UPMC WELLSBORO (NPI# 1275090433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275090433 |
| Entity Type | Organization |
| Organization Name | UPMC WELLSBORO |
| Other Organization Name | PROVIDER BASED CLINICS |
| Practice Address |
103 West Ave Ste 203 Wellsboro PA 16901-1311 |
| Mailing Address |
600 Grant St., Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 5707243744 |
| Practice Fax Number | 5707242459 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | JANIE M HILFIGER (PRESIDENT / 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 | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Provider Based Clinics | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Main St, Wellsboro, PA 169011601 | 5707230716 | 5707242411 |
| 103 West Ave Ste 201, Wellsboro, PA 169011311 | 5707243636 | 5707243326 |
| 103 West Ave Ste 202, Wellsboro, PA 169011311 | 5707245297 | 5707248793 |
| 103 West Ave Ste 203, Wellsboro, PA 169011358 | 5707243744 | 5707242459 |
| 15 Meade St Ste L1, Wellsboro, PA 169011813 | 5707230637 | 5707230638 |
| 15 Meade St Ste U3, Wellsboro, PA 169011813 | 5707240000 | |
| 15 Meade St Ste U3, Wellsboro, PA 169011813 | 5707243636 | 5707243326 |
| 15 Meade St Ste U4, Wellsboro, PA 169011813 | 5707236380 | 5707236381 |
| 15 Meade St Ste U4, Wellsboro, PA 169011813 | 5707245297 | 5707248793 |
| 25 Walnut St, Wellsboro, PA 169011515 | 5707246474 | |
| 9 Water St, Wellsboro, PA 169011117 | 5707242325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1962754895 | Upmc Wellsboro | Clinic/Center | 32-36 Central Ave, Radiology Department, Wellsboro, PA 16901-1840 | 2012-10-02 |
| 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 |
103 WEST AVE STE 203 |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1311 |
| 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 |
| 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.