Organization Active NPI

Hani J Tuffaha MD PC

  • Neurological Surgery Physician
  • Williamsport, PA
National Provider Identifier
1235271560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD027307E Issued in PA
Legal business name
HANI J TUFFAHA MD PC
Practice address
904 Campbell St
Williamsport, PA 17701-3166
Phone
(570) 323-5352
Fax
(570) 323-1066
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hani Jawdat Tuffaha, MD
Title
Owner
Phone
(570) 323-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD027307E PA Primary

Addresses

Primary practice location

904 Campbell St
Williamsport, PA 17701-3166

Mailing address

904 Campbell St
Williamsport, PA 17701-3166
Phone (570) 323-5352

Other identifiers 3

IdentifierTypeStateIssuer
072141OtherPAFIRST PRIORITY HEALTH
0008780520001MedicaidPA
03021000OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235271560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CAMPBELL ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013166",
            "telephone_number": "570-323-5352",
            "fax_number": "570-323-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CAMPBELL ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013166",
            "telephone_number": "570-323-5352",
            "fax_number": "570-323-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANI J TUFFAHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUFFAHA",
        "authorized_official_first_name": "HANI",
        "authorized_official_middle_name": "JAWDAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-323-5352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD027307E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "072141",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008780520001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03021000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.