Organization Active NPI

Tioga Healthcare Providers 8, Inc

Doing business as Wellsboro Surgical Associates

  • Surgery Physician
  • Wellsboro, PA
National Provider Identifier
1306810957
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TIOGA HEALTHCARE PROVIDERS 8, INC
Doing business as
Wellsboro Surgical Associates
Practice address
15 Meade St
Wellsboro, PA 16901-1813
Phone
(570) 724-4670
Fax
(570) 724-3896
NPI assigned
Feb 13, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LAUREL HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
David Cahill, MDNPI 1326044256
Title
Physician
Phone
(570) 724-4670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

15 Meade St
Wellsboro, PA 16901-1813

Mailing address

PO Box 56
Wellsboro, PA 16901-0056
Phone (570) 724-4670

Other identifiers 2

IdentifierTypeStateIssuer
1809668OtherHIGHMARK BS
DE9117OtherPATRAVELERS MEDICARE

Other names 1

  • Wellsboro Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

15 Meade St
Ste L5
Wellsboro, PA 16901
Phone (570) 724-4670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1306810957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169010056",
            "telephone_number": "570-724-4670",
            "fax_number": "570-724-3896"
        },
        {
            "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": "570-724-4670",
            "fax_number": "570-724-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTHCARE PROVIDERS 8, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL HEALTH SYSTEMS",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-724-4670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1809668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "DE9117",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsboro Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 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.