Active NPI
Maria Tanielian, MD
- Student in an Organized Health Care Education/Training Program
- Mt Morris, PA
National Provider Identifier
1821736091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703003127 | PA | Order and Referring Only - General Practice | 1850835646 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.