Active NPI
Donald John Sweeney, D.O.
- Family Medicine Physician
- Wellsboro, PA
National Provider Identifier
1710990874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-005387L
- Practice address
- 7 Water St
Wellsboro Laurel Health Center
Wellsboro, PA 16901-1126 - Phone
- (570) 724-1010
- Fax
- (570) 724-3970
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-005387L | PA | Primary |
Addresses
Primary practice location
7 Water St
Wellsboro Laurel Health Center
Wellsboro, PA 16901-1126
Mailing address
22 Walnut St
Laurel Health Center Administration
Wellsboro, PA 16901-1526
Phone (570) 723-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001089155 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-005387L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1710990874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WALNUT ST",
"address_2": "LAUREL HEALTH CENTER ADMINISTRATION",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011526",
"telephone_number": "570-723-0500",
"fax_number": "570-724-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WATER ST",
"address_2": "WELLSBORO LAUREL HEALTH CENTER",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011126",
"telephone_number": "570-724-1010",
"fax_number": "570-724-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "DONALD",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-005387L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001089155",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.