Active NPI
Tammy Oldham
- Contractor
- Wellsboro, PA
National Provider Identifier
1750750949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 462809249
- Practice address
- 247 Tioga St
Wellsboro, PA 16901-6776 - Phone
- (570) 724-2424
- Fax
- (570) 724-2425
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 462809249 | PA | Primary |
| Driver | 172A00000X | 462809249 | PA |
Addresses
Primary practice location
247 Tioga St
Wellsboro, PA 16901-6776
Mailing address
247 Tioga Street
Wellsboro, PA 16901
Phone (570) 724-2424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462809249 | PA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1750750949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 TIOGA STREET",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "16901",
"telephone_number": "570-724-2424",
"fax_number": "570-724-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 TIOGA ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169016776",
"telephone_number": "570-724-2424",
"fax_number": "570-724-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDHAM",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "462809249",
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "PA",
"license": "462809249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
- North Penn Comprehensive Health Services
- North Penn Comprehensive Health Services
- North Penn Comprehensive Health Services
- North Penn Comprehensive Health Services
- Kyle O'Donnell, DPT
- Pamela Suanne Oliver, LSW
- Daniella Nicole Pace
- Ana Maria Pagan Cabrera, M.D.
- Brooke E Patt, MSPT
- Pediatric Services of America, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.