NPIMap

Organization Active NPI

Tioga Health Care Providers 12

  • Urology Physician
  • Wellsboro, PA
National Provider Identifier
1881900587
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TIOGA HEALTH CARE PROVIDERS 12
Practice address
15 Meade St
Suite U3
Wellsboro, PA 16901-1813
Phone
(570) 724-3636
Fax
(570) 724-3326
NPI assigned
Aug 19, 2010
Organization subpart
Yes
Parent organization
LAUREL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Edward L Bellinger, MD
Title
Physician
Phone
(570) 724-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

15 Meade St
Suite U3
Wellsboro, PA 16901-1813

Mailing address

15 Meade St
Suite U3
Wellsboro, PA 16901-1813
Phone (570) 724-3636

Other names 1

  • Tyoga Urological Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1881900587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEADE ST",
            "address_2": "SUITE U3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011813",
            "telephone_number": "570-724-3636",
            "fax_number": "570-724-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEADE ST",
            "address_2": "SUITE U3",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011813",
            "telephone_number": "570-724-3636",
            "fax_number": "570-724-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTH CARE PROVIDERS 12",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL HEALTH SYSTEM",
        "enumeration_date": "2010-08-19",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BELLINGER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-724-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyoga Urological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.