NPIMap

Organization Active NPI

Tyrone Hospital

  • Orthopaedic Surgery Physician
  • Tyrone, PA
National Provider Identifier
1407573769
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TYRONE HOSPITAL
Practice address
154 Hospital Dr Ste 3
Tyrone, PA 16686-1829
Phone
(814) 684-6347
Fax
(814) 684-6346
NPI assigned
Oct 26, 2022
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Rhonda Faye Halstead
Title
Authorized Official, Ceo
Phone
(814) 768-2497

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.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 21

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

View all 21

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000610 PA Part B Supplier - Clinic/Group Practice 4183619885 Receives reassigned benefits from 137 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyrone, PA; Altoona, PA

National Provider Directory

National Provider Directory
Tax ID family
Doppler Department Tyro (22 organizations share this tax ID)
Part of
Penn Highlands Healthcare

Locations

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X

Addresses

NPPES NPI Registry

Primary practice location

154 Hospital Dr Ste 3
Tyrone, PA 16686-1829

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100773400MedicaidPA

Other names 2

NPPES NPI Registry
  • Penn Highlands Tyrone Doing business as
  • Penn Highlands Orthopedics & Sports Medicine Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2024.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1407573769",
    "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": "814-684-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR STE 3",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861829",
            "telephone_number": "814-684-6347",
            "fax_number": "814-684-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, CEO",
        "authorized_official_telephone_number": "814-768-2497"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Tyrone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Orthopedics & Sports Medicine",
            "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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.