NPIMap

Individual provider Active NPI

Tammy Ganoe

  • Family Medicine Physician
  • Fairmount City, PA
National Provider Identifier
1992260350
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP019896 Issued in PA
Practice address
1323 Brookville St
Fairmount City, PA 16224-1139
Phone
(814) 275-3320
Fax
(814) 375-4413
NPI assigned
Feb 9, 2019
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP019896 PA Primary

Addresses

Primary practice location

1323 Brookville St
Fairmount City, PA 16224-1139

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819001028 PA Practitioner - Nurse Practitioner 4981020104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Faster Care PLLCGroup PAC ID 4880719038, 23 clinicians
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

250 B Butler CMNS
Butler, PA 16001-2485
Phone (877) 987-4368

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019896PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Family Medicine CurrentSince Jun 22, 2020 Accepting new patients
BHS Faster Care PLLC CurrentSince Mar 2, 2026 Accepting new patients
Infinite Medical PC Family Medicine CurrentSince Mar 29, 2025 Accepting new patients
Brookville Hospital Family Medicine CurrentSince Jun 22, 2020 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

1323 Brookville St
Fairmount Cty, PA 16224
Phone (814) 275-1169

100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1992260350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6549",
            "fax_number": "814-372-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241139",
            "telephone_number": "814-275-3320",
            "fax_number": "814-375-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANOE",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-09",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP019896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmount City, PA

Sources for this page

Verify at the official NPI Registry.