Sandra Ann Tiseo, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA000922 Issued in PA

Practice address

2950 S Eagle Rd
Newtown, PA 18940-1562

Phone

(215) 504-9255

Fax

(215) 504-9260

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wjo Inc.

  dba Oxford Valley Family Practice and Medical Center

  • Family Medicine Physician
  • Levittown, PA
  • NPI 1639125347
  NPD (past)

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1831413731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S EAGLE RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401562",
            "telephone_number": "215-504-9255",
            "fax_number": "215-504-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S EAGLE RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401562",
            "telephone_number": "215-504-9255",
            "fax_number": "215-504-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISEO",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Thomas
• Thrift Drug Inc (Rite Aid Pharmacy 11089)
• Thrive Wellness & Performance
• Carolyn Ticker
• Brad Jay Tinkelman, M.D.
• Sheri Lynn Tittelmayer
• To-Beyhealthy, LLC
• John Tobey III, MA, LPC
• Stephanie Marie Tobey, LCSW
• Samantha Tomlinson

• Physician Assistant in Newtown, PA
• Providers in Newtown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.