Organization Active NPI

Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
National Provider Identifier
1881616985
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD044032E Issued in PA
Legal business name
MERCY TYLER HEALTH SYSTEMS
Practice address
880 Sr 6W
Tunkhannock, PA 18657
Phone
(570) 996-1238
Fax
(570) 836-1938
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mr. Stephen H Franko
Title
Cfo
Phone
(570) 348-7074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MD024069E PA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD044032E PA Primary

Addresses

Primary practice location

880 Sr 6W
Tunkhannock, PA 18657

Mailing address

880 Sr 6W
Tunkhannock, PA 18657
Phone (570) 996-1238

Other names 1

  • Tyler Health Systems Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1881616985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SR 6W",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-996-1238",
            "fax_number": "570-836-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SR 6W",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-996-1238",
            "fax_number": "570-836-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY TYLER HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "FRANKO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-348-7074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD024069E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD044032E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyler Health Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.