TIOGA HEALTH CARE PROVIDERS, INC (NPI# 1932548054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932548054 |
| Entity Type | Organization |
| Organization Name | TIOGA HEALTH CARE PROVIDERS, INC |
| Other Organization Name | SUSQUEHANNA HEALTH UROLOGY AT SOLDIERS AND SAILORS MEM HOSPITAL |
| Practice Address |
15 Meade St Suite U3 Wellsboro PA 16901-1813 |
| Mailing Address |
22 Walnut St Wellsboro PA 16901-1526 |
| Practice Telephone | 5707243636 |
| Practice Fax Number | 5707243326 |
| 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 |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Susquehanna Health Urology at Soldiers and Sailors Mem Hospital | 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 |
| 1437598554 | Tioga Health Care Providers, Inc | Podiatrist | 15 Meade St, Suite U4, Wellsboro, PA 16901-1813 | 2013-06-21 |
| 1063851194 | Tioga Health Care Providers, Inc | Hospitalist | 103 West Ave, Wellsboro, PA 16901-1358 | 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 |
15 MEADE ST SUITE U3 |
| 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 |
| 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 |
| 1801923115 | Anthony M Nespola | Internal Medicine | 15 Meade St, Wellsboro, PA 16901-1813 | 2007-02-27 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800774 | Jeffrey A Ranta | Urology | 15 Meade St Ste U3, Wellsboro, PA 16901 | 2005-06-09 |
| 1881900587 | Tioga Health Care Providers 12 | Urology | 15 Meade St, Suite U3, Wellsboro, PA 16901-1813 | 2010-08-19 |
| 1003919978 | Edward L Bellinger | Urology | 15 Meade St, Wellsboro, PA 16901-1813 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 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.