NPIMap

Organization Active NPI

Tyrone Hospital

  • Hematology & Oncology Physician
  • Tyrone, PA
National Provider Identifier
1417664152
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TYRONE HOSPITAL
Practice address
187 Hospital Dr
Tyrone, PA 16686-1808
Phone
(814) 384-6333
NPI assigned
Nov 2, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jourdan Strishock
Title
Enrollment Supervisor
Phone
(814) 375-6160

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 13

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

View all 13

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)

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Hematology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZH0000X
Hematology Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QH0000X

Addresses

NPPES NPI Registry

Primary practice location

187 Hospital Dr
Tyrone, PA 16686-1808

Mailing address

187 Hospital Dr
Tyrone, PA 16686-1808

Other names 1

NPPES NPI Registry
  • Penn Highlands Tyrone Oncology-Hematology Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2022.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1417664152",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "814-384-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "STRISHOCK",
        "authorized_official_first_name": "JOURDAN",
        "authorized_official_title_or_position": "ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "814-375-6160"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Tyrone Oncology-Hematology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2022; 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.