Tioga Health Care Providers, Inc. 5

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TIOGA HEALTH CARE PROVIDERS, INC. 5

Practice address

32-36 Central Ave
Wellsboro, PA 16901-1840

Phone

(570) 723-0140

Fax

(570) 724-6541

NPI assigned

Aug 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald M Gilbert Jr.

Title

Chief Financial Officer

Phone

(570) 723-0603

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942218250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0140",
            "fax_number": "570-724-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0140",
            "fax_number": "570-724-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTH CARE PROVIDERS, INC. 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "570-723-0603",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "919529",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018612000004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tioga Health Care Providers, Inc (Susquehanna Health Urology at Soldiers and Sailors Mem Hospital)
• Tioga Health Care Providers, Inc 13 (Northern Tier Orthopedic Associates)
• Tioga Health Care Providers, Inc. (Susquehanna Health Spinal Rehab and Workcenter at Wellsboro)
• Tioga Health Care Providers, Inc.
• Tioga Health Care Providers, Inc. 1
• Tioga Healthcare Providers 8, Inc (Wellsboro Surgical Associates)
• Tioga Healthcare Providers Inc-6 (Canyon Surgical Associates)
• Tiogacounty Dept of Human Services
• Stacy Tom
• Judith Tubbs, CRNP

• Emergency Medicine Physician in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.