NPIMap

Organization Active NPI

Tioga Health Care Providers, Inc

Doing business as Susquehanna Health Medical Plaza at Mansfield

  • Radiology Clinic/Center
  • Mansfield, PA
National Provider Identifier
1639520760
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TIOGA HEALTH CARE PROVIDERS, INC
Doing business as
Susquehanna Health Medical Plaza at Mansfield
Practice address
416 S Main St
Suite
Mansfield, PA 16933-1510
Phone
(570) 662-0000
NPI assigned
Jun 30, 2016
Organization subpart
Yes
Parent organization
SUSQUEHANNA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Ronald M Gilbert Jr.
Title
VP Finance
Phone
(570) 723-0603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

416 S Main St
Suite
Mansfield, PA 16933-1510

Mailing address

416 S Main St
Suite
Mansfield, PA 16933-1510
Phone (570) 662-0000

Other names 1

  • Susquehanna Health Medical Plaza at Mansfield Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

416 S Main St
#I
Mansfield, PA 16933
Phone (570) 662-1910

416 S Main St
Ste 1
Mansfield, PA 16933
Phone (570) 662-1920

15 Meade St
Wellsboro, PA 16901
Phone (570) 724-2131

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1639520760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST",
            "address_2": "SUITE",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510",
            "telephone_number": "570-662-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST",
            "address_2": "SUITE",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510",
            "telephone_number": "570-662-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTH CARE PROVIDERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSQUEHANNA HEALTH",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "570-723-0603",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susquehanna Health Medical Plaza at Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.