Individual provider Active NPI

Maria Tanielian, MD

  • Student in an Organized Health Care Education/Training Program
  • Mt Morris, PA
National Provider Identifier
1821736091
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
120 Locust Ave Ext
Mt Morris, PA 15349-1355
Phone
(724) 324-9001
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

120 Locust Ave Ext
Mt Morris, PA 15349-1355

Mailing address

Ut Health San Antonio 7703 Floyd Curl Dr
Internal Medicine/Geraitric Department
San Antonio, TX 78229
Phone (210) 617-5311

Other practice location 1

UT Health San Antonio 7703 Floyd Curl Dr
Internal Medicine/Geraitric Department
San Antonio, TX 78229
Phone (210) 617-5311

Other practice location 2

7 Glassworks Rd
Greensboro, PA 15338-9507
Phone (724) 943-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003127 PA Order and Referring Only - General PracticePractitioner - General Practice 1850835646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: maria.tanielian.p12@direct.cornerstonecare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1821736091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UT HEALTH SAN ANTONIO 7703 FLOYD CURL DR",
            "address_2": "INTERNAL MEDICINE/GERAITRIC DEPARTMENT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-617-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UT Health San Antonio 7703 Floyd Curl Dr",
            "address_2": "Internal Medicine/Geraitric Department",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-617-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Glassworks Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "PA",
            "postal_code": "153389507",
            "country_code": "US",
            "telephone_number": "724-943-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANIELIAN",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Morris, PA

Sources for this page

Verify at the official NPI Registry.