Active NPI
Edward L Bellinger, M.D.
- Urology Physician
- Wellsboro, PA
National Provider Identifier
1003919978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD021180E
- Practice address
- 15 Meade St
Wellsboro, PA 16901-1813 - Phone
- (570) 724-3636
- Fax
- (570) 724-3326
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD021180E | PA | Primary |
Addresses
Primary practice location
15 Meade St
Wellsboro, PA 16901-1813
Mailing address
15 Meade St
Wellsboro, PA 16901-1813
Phone (570) 724-3636
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801909 | Other | PA | FIRST PRIORITY |
| P00798599 | Other | PA | RAILROAD MEDICARE |
| 0008576330001 | Medicaid | PA | |
| 070829 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021180E | PA | MD | Urology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tyoga Urological Associates
- Urology Physician
- Wellsboro, PA
- NPI 1881900587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1003919978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MEADE ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011813",
"telephone_number": "570-724-3636",
"fax_number": "570-724-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MEADE ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011813",
"telephone_number": "570-724-3636",
"fax_number": "570-724-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLINGER",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD021180E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "801909",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00798599",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008576330001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "070829",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.