Theresa Anne Tarquinio, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA003297L Issued in PA

Practice address

701 Northway Rd
Williamsport, PA 17701-3813

Phone

(570) 322-1637

Fax

(570) 322-1638

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Susquehanna Physician Services

  dba Susquehanna Health Medical Group

  • Pulmonary Disease Physician
  • Williamsport, PA
  • NPI 1083677868
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1669428132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 1K",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTHWAY RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013813",
            "telephone_number": "570-322-1637",
            "fax_number": "570-322-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARQUINIO",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003297L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T3 Rehab and Performance LLC Trenton Woolcock Sole MBR
• Mohammad Tahir, MD
• Theda Lorraine Tallman
• Iwao K. Tanaka, M.D.
• Kelly Elizabeth Tanney, PA-C
• Emily Tate
• Alvine Naliaka Taylor, CRNP
• Lorrie Taylor
• Jennifer Tebbs, B.S.W
• Michele Tedesco

• Medical Physician Assistant in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.