NPIMap

Individual provider Active NPI

Tamara Gorsuch, PA-C

  • Medical Physician Assistant
  • Tyrone, PA
National Provider Identifier
1023280401
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052571 Issued in PA
Practice address
154 Hospital Dr
Tyrone, PA 16686-1829
Phone
(814) 684-6341
Fax
(814) 684-6341
NPI assigned
Mar 26, 2008
Reactivated
Mar 31, 2015
Last updated
Aug 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052571 PA Primary

Addresses

Primary practice location

154 Hospital Dr
Tyrone, PA 16686-1829

Mailing address

154 Hospital Dr
Tyrone, PA 16686-1829
Phone (814) 684-6341

Other names 1

  • Tamara Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000670 PA Practitioner - Physician Assistant 0446385652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians

Practice addresses (Care Compare)

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-2290

417 Sabbath Rest Rd
Altoona, PA 16601-7567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA052571PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 23, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 23, 2017 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jan 20, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jan 20, 2025 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
JC Blair Memorial Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

Locations

417 Sabbath Rest Rd
Ste 4
Altoona, PA 16601
Phone (814) 375-6467

621 S Main St
Dubois, PA 15801
Phone (814) 299-7520

1792 Plank Rd
Duncansville, PA 16635
Phone (814) 317-5188

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

154 Hospital Dr
Ste 3
Tyrone, PA 16686
Phone (814) 643-8485

Interoperability endpoints

  • Direct secure messaging: tgorsuch@tyronespecialties.medentdirect.com
  • Direct secure messaging: tlgorsuch@1285.direct.myezyaccess.com
  • Direct secure messaging: tsmith34022@direct.conemaugh.org

Organizations & group practices 12

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.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1023280401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861829",
            "telephone_number": "814-684-6341",
            "fax_number": "814-684-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861829",
            "telephone_number": "814-684-6341",
            "fax_number": "814-684-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSUCH",
        "first_name": "TAMARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "deactivation_date": "2015-03-03",
        "reactivation_date": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SMITH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyrone, PA

Sources for this page

Verify at the official NPI Registry.