Toftrees Family Medicine,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS012029 Issued in PA

Legal business name

TOFTREES FAMILY MEDICINE,LLC

Practice address

811 Cricklewood Dr
State College, PA 16803-1899

Phone

(814) 234-2226

Fax

(814) 234-2258

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Fidelis O Ejianreh, D.O.NPI 1699746990

Title

Owner

Phone

(814) 234-2226

Specialties & licenses 1

Addresses

Locations

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.

• Fidelis O Ejianreh, D.O.

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1699746990
  Authorized official Same address or phone

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1396999892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CRICKLEWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031899",
            "telephone_number": "814-234-2226",
            "fax_number": "814-234-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CRICKLEWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031899",
            "telephone_number": "814-234-2226",
            "fax_number": "814-234-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOFTREES FAMILY MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "EJIANREH",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-234-2226",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS012029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Steven Tilghman, M.ED, LAPC, CCMHC
• Teresa M. Timmerman, PA-C
• Stephen T Tingley, M.D.
• TLC the Laser Center (Pittsburgh) LLC (TLC Laser Eye Centers State College)
• Eliabeth Anne Toepfer, ED.D
• William James Tolan, PHD
• Danielle Toniatti, PTA
• Dylan Torres
• Joel A Torretti, MD
• Total Renal Care Inc (State College Dialysis)

• Primary Care Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.