Tami L. Eiswerth, M.S., A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001098A Issued in PA

Practice address

540 E Main St
Middleburg, PA 17842-1218

Phone

(570) 837-0551

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104843820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHERMAN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561412",
            "telephone_number": "570-546-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178421218",
            "telephone_number": "570-837-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISWERTH",
        "first_name": "TAMI",
        "middle_name": "L.",
        "credential": "M.S., A.T.,C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Chubb, CRNP
• Cmsu Behavioral Health and Developmental Services
• Chris James Darrup, DO
• Susan E Dock, CRNP
• Dr. Daniel K . Gift O.D.
• Evangelical Medical Services Organization
• Family Practice Center, PC
• Gaudenzia Inc
• Stacy Lynn Gemberling, PA-C
• Daniel K Gift, O.D.

• All providers in Middleburg, PA
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.