Doan Med LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DOAN MED LLC

Practice address

9 Fish Rd
Wellsboro, PA 16901-6913

Phone

(570) 404-9795

Fax

(570) 373-8821

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Perry W Doan Jr., DO

Title

Owner/Medical Director

Phone

(570) 404-9795

Specialties & licenses 2

Addresses

Other names 1

• Tioga Wellness & Vitality Doing business as

Practitioners 1

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

• Nicole Elizabeth Doan

  • Women's Health Nurse Practitioner
  • Wellsboro, PA
  • NPI 1336770478
  NPD

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1407798192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FISH RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016913",
            "telephone_number": "570-404-9795",
            "fax_number": "570-373-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FISH RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016913",
            "telephone_number": "570-404-9795",
            "fax_number": "570-373-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-404-9795",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tioga Wellness & Vitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dca of Wellsboro, LLC
• Crystal Deitrick, M.ED., LPC
• Mitchell Dent, DNP, CRNA
• Trudi M Dibble, PT ASSISTANT
• Autumn Elizabeth Dietrich
• Nicole Elizabeth Doan
• Perry Wynn Doan Jr., DO
• Christopher Anthony Domarew, M.D.,PHARMD, RPH
• Donald D Golobek DO
• Terry Drake, LSW

• All providers in Wellsboro, PA
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.