NPIMap

Organization Active NPI

Tyrone Hospital

Doing business as Penn Highlands Tyrone

  • Surgery Physician
  • Tyrone, PA
National Provider Identifier
1063349116
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TYRONE HOSPITAL
Doing business as
Penn Highlands Tyrone
Practice address
221 Hospital Dr Ste 3
Tyrone, PA 16686-1828
Phone
(814) 205-1902
Fax
(814) 205-1905
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Brian S Kline
Title
VP Fiscal Affairs
Phone
(814) 375-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

221 Hospital Dr Ste 3
Tyrone, PA 16686-1828

Mailing address

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-1255

Other identifiers 2

IdentifierTypeStateIssuer
100773400MedicaidPA
391307OtherPACAH TYPE II PTAN

Other names 3

  • Penn Highlands Tyrone Doing business as
  • Penn Highlands General Surgery - Tyrone Other name
  • Penn Highlands Tyrone General Surgery Other name

National Provider Directory

National Provider Directory
Tax ID family
Tyrone Hospital Emer Me22 organizations share this tax ID, including this one
Part of
Penn Highlands Healthcare

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1063349116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "814-684-1255",
            "fax_number": "814-684-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL DR STE 3",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861828",
            "telephone_number": "814-205-1902",
            "fax_number": "814-205-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP FISCAL AFFAIRS",
        "authorized_official_telephone_number": "814-375-6377"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAH TYPE II PTAN",
            "identifier": "391307",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Tyrone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands General Surgery - Tyrone",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands Tyrone General Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyrone, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.