Titusville Area Health Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TITUSVILLE AREA HEALTH SERVICES, INC.

Practice address

335 W Oak St
Titusville, PA 16354-1416

Phone

(814) 827-1852

Fax

(814) 827-8419

NPI assigned

Aug 9, 2006

Last updated

Nov 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Neely, CFO

Title

Chief Financial Officer

Phone

(814) 827-1852

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Titusville Area Health Services, Inc.

  • Surgery Physician
  • Titusville, PA
  • NPI 1255349981

  O20040604000749

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Titusville Area Health Services, Inc.

  • Surgery Physician
  • Titusville, PA
  • NPI 1255349981
  NPPES parent name

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lara Kathleen Divins

  • Physician Assistant
  • Tionesta, PA
  • NPI 1174881775
  Medicare reassignment Care Compare group NPD
• Richard B Whalen, MD

  • Family Medicine Physician
  • Titusville, PA
  • NPI 1043202138
  Medicare reassignment Care Compare group NPD
• Brittany Ann Masterson, PA-C

  • Medical Physician Assistant
  • Titusville, PA
  • NPI 1073914883
  Medicare reassignment Care Compare group
• Maria Lordes Munoz, MD

  • Pediatrics Physician
  • Titusville, PA
  • NPI 1215964929
  Medicare reassignment NPD
• Shannon M Vinson, PA-C

  • Physician Assistant
  • Franklin, PA
  • NPI 1215198148
  Medicare reassignment NPD
• Stacy Kowalczyk, CRNP

  • Nurse Practitioner
  • Titusville, PA
  • NPI 1326077637
  NPD (past)
• Wilfredo Siy Lukban, M.D.

  • Internal Medicine Physician
  • Drexel Hill, PA
  • NPI 1215010251
  NPD (past)
• Christopher Macdonald

  • Family Medicine Physician
  • Titusville, PA
  • NPI 1104858869
  NPD (past)
• Caleb Chinedu Nwosu, DO

  • Family Medicine Physician
  • Chambersburg, PA
  • NPI 1932310778
  NPD (past)
• Saeed Tarokh, MD

  • Emergency Medicine Physician
  • Titusville, PA
  • NPI 1912992967

  Family Medicine

  NPD (past)
• Leann Rae Simpson-Tarokh, DO

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1285660753
  NPD (past)
• Sherri Lee Walker, D. O.

  • Family Medicine Physician
  • Winchester, TN
  • NPI 1265586259
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1639189889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541416",
            "telephone_number": "814-827-1852",
            "fax_number": "814-827-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541416",
            "telephone_number": "814-827-1852",
            "fax_number": "814-827-8419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Prospect Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163232554",
            "country_code": "US",
            "telephone_number": "814-437-1212",
            "fax_number": "814-437-6974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Main St",
            "address_purpose": "LOCATION",
            "city": "Tidioute",
            "state": "PA",
            "postal_code": "163511062",
            "country_code": "US",
            "telephone_number": "814-484-3096",
            "fax_number": "814-484-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-589-7066",
            "fax_number": "814-827-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 WEST SPRING ST",
            "address_2": "SUITE 103",
            "address_purpose": "LOCATION",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541655",
            "country_code": "US",
            "telephone_number": "814-827-7004",
            "fax_number": "814-827-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Tionesta",
            "state": "PA",
            "postal_code": "163539737",
            "country_code": "US",
            "telephone_number": "814-755-3631",
            "fax_number": "814-755-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TITUSVILLE AREA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-827-1852",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100022",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717100021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH2780",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Sue Taggart, D.P.T.
• Saeed Tarokh, MD
• Lindsey Jo Thompson, CRNP
• Timothy S Brooks DPM
• Titusville Area Health Services, Inc.
• Titusville Area Hospital
• Titusville Area Hospital
• Titusville Area Hospital
• Titusville Area Hospital
• Titusville Area Hospital

• Family Medicine Physician in Titusville, PA
• Providers in Titusville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.