CANYON SURGICAL ASSOCIATES – NPI #1619948288
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CANYON SURGICAL ASSOCIATES is a surgeon located in WELLSBORO, PA. NPPES has assigned the NPI number 1619948288 to CANYON SURGICAL ASSOCIATES on January 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANYON SURGICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is TIOGA HEALTHCARE PROVIDERS INC-6. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 18 years ago on Jan 08, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANYON SURGICAL ASSOCIATES below.

NPI Profile for
TIOGA HEALTHCARE PROVIDERS INC-6

NPI Number
1619948288
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIOGA HEALTHCARE PROVIDERS INC-6
Doing Business As (dba): CANYON SURGICAL ASSOCIATES
Primary location
1 MAIN ST
WELLSBORO, PA 16901-1601
Phone: (570) 723-0716 Fax: (570) 723-0638
Mailing address
PO BOX 191
WELLSBORO, PA 16901-0191
Phone: (570) 723-0716 Fax: (570) 723-0638
Organization Subpart
Yes - CANYON SURGICAL ASSOCIATES is subpart of another organization.
Authorized Official
BRADLEY MUDGE
PHYSICIAN
Phone: (570) 723-0716
Updated
Identifiers

Identifiers for CANYON SURGICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHIGHMARK BLUE SHIELD1626712
OTHERTRAVELERS MEDICAREPADC0711
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.