TIOGA HEALTHCARE PROVIDERS INC-6 (NPI# 1619948288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619948288 |
Entity Type | Organization |
Organization Name | TIOGA HEALTHCARE PROVIDERS INC-6 |
Other Organization Name | CANYON SURGICAL ASSOCIATES |
Practice Address |
1 Main St Wellsboro PA 16901-1601 |
Mailing Address |
Po Box 191 Wellsboro PA 16901-0191 |
Practice Telephone | 5707230716 |
Practice Fax Number | 5707230638 |
Mailing Telephone | 5707230716 |
Mailing Fax Number | 5707230638 |
Enumeration Date | 2006-01-31 |
Last Update Date | 2008-01-08 |
Authorized Official Name | BRADLEY MUDGE (PHYSICIAN) |
Authorized Official Telephone | 5707230716 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | LAUREL HEALTH SYSTEMS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | TRAVELERS MEDICARE | DC0711 | 01 |
HIGHMARK BLUE SHIELD | 1626712 | 01 |
Other Name | Type Code |
---|---|
Canyon Surgical Associates | Doing Business As Name - Organization |
Street Address |
1 MAIN ST |
City | WELLSBORO |
State | PA |
Zip Code | 16901-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219280 | Edward R. Hess | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2005-07-19 |
1003255159 | Tioga Health Care Providers, Inc | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2013-06-21 |
1780767558 | Darius Abadi | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2006-10-23 |
1184687576 | Debra S Silkes | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2006-04-08 |
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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043517139 | Robert M Bowers | Surgery | 60 Mount Zion Spur, Wellsboro, PA 16901-6947 | 2011-02-25 |
1043219280 | Edward R. Hess | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2005-07-19 |
1326044256 | David M Cahill | Surgery | 15 Meade St, Ste L5, Wellsboro, PA 16901-1813 | 2005-06-24 |
1003255159 | Tioga Health Care Providers, Inc | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2013-06-21 |
1780767558 | Darius Abadi | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2006-10-23 |
1184687576 | Debra S Silkes | Surgery | 1 Main St, Wellsboro, PA 16901-1601 | 2006-04-08 |
1306810957 | Tioga Healthcare Providers 8, Inc | Surgery | 15 Meade St, Wellsboro, PA 16901-1813 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
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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.