Individual provider Active NPI

Tudor S Trifan, MD

  • Internal Medicine Physician
  • Hollidaysburg, PA
National Provider Identifier
1629178991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042720L Issued in PA
Practice address
30 Sylvan Oakes Dr
Hollidaysburg, PA 16648-2920
Phone
(814) 941-9918
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042720L PA Primary

Addresses

Primary practice location

30 Sylvan Oakes Dr
Hollidaysburg, PA 16648-2920

Mailing address

30 Sylvan Oakes Dr
Hollidaysburg, PA 16648-2920
Phone (814) 941-9918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123001190 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7113115999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629178991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SYLVAN OAKES DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482920",
            "telephone_number": "814-941-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SYLVAN OAKES DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482920",
            "telephone_number": "814-941-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFAN",
        "first_name": "TUDOR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042720L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

Verify at the official NPI Registry.