Tioga Health Care Providers Inc 4

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

TIOGA HEALTH CARE PROVIDERS INC 4

Doing business as

Wellsboro Anesthesia

Practice address

32-36 Central Ave
Wellsboro, PA 16901-1840

Phone

(570) 723-7764

NPI assigned

Jun 11, 2006

Last updated

Oct 2, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

LAUAREL HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Ronald J Butler

Title

President

Phone

(570) 723-7764

Specialties & licenses 2

Addresses

Other names 1

• WELLSBORO ANESTHESIA Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1548202971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WASHINGTON RD",
            "address_2": "STE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281629",
            "telephone_number": "412-831-3744",
            "fax_number": "412-831-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTH CARE PROVIDERS INC 4",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUAREL HEALTH SYSTEM",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-723-7764"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLSBORO ANESTHESIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tioga County Dept of Human Services
• Tioga Health Care Providers 11 (Pine Creek Internal Medicine)
• Tioga Health Care Providers 12 (Tyoga Urological Associates)
• Tioga Health Care Providers Inc (Susquehanna Health OB and Gyn at Soldiers and Sailors Mem Hospital)
• Tioga Health Care Providers Inc (Susquehanna Health Anesthesia at Soldiers & Sailors Mem Hos)
• Tioga Health Care Providers, Inc (Susquehanna Health General Surgery at Wellsboro)
• Tioga Health Care Providers, Inc (Susquehanna Health Emergency Svcs at Soldiers and Sailors Mem Hospital)
• Tioga Health Care Providers, Inc (Susquehanna Health Ob and Gyn at Soldiers and Sailors Mem Hospital)
• Tioga Health Care Providers, Inc (Susquehanna Health Internal Medicine at Wellsboro)
• Tioga Health Care Providers, Inc (Susquehanna Health Orthopedics at Wellsboro)

• Certified Registered Nurse Anesthetist in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.