SOUTHERN TIER SURGICAL PLLC
NPI 1316296205
Surgery in Johnson City, NY

Active since September 06, 2012
30 HARRISON STREET, SUITE 320, JOHNSON CITY, NY 13790(607) 763-8205(607) 763-8208 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Tier Surgical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TIER SURGICAL PLLC (NPI 1316296205) is a healthcare organization registered as a surgery in Johnson City, New York and active in the NPI registry since September 2012. The organization lists Christian Tvetenstrand, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1316296205
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN TIER SURGICAL PLLC
Location Address30 HARRISON STREET, SUITE 320Johnson City, NY 13790-2162
Mailing Address30 Harrison Street, Suite 320Johnson City, NY 13790-2162 · (607) 763-8205 · Fax (607) 763-8208
Fax(607) 763-8208
Organization SubpartNo
Authorized OfficialChristian TvetenstrandSurgeon · (607) 763-8205
Enumeration DateSeptember 6, 2012
Last NPPES UpdateFebruary 11, 2013
NPI 1316296205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 178438
Definition
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.
30 HARRISON STREET, Johnson City, NY 13790

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
30 HARRISON STREET, SUITE 340
JOHNSON CITY, NY 13790
Surgery
30 HARRISON STREET, SUITE 400
JOHNSON CITY, NY 13790
Obstetrics & Gynecology
30 HARRISON STREET, SUITE 320
JOHNSON CITY, NY 13790
Obstetrics & Gynecology
30 HARRISON STREET, SUITE 340
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
30 HARRISON STREET, STE 102
JOHNSON CITY, NY 13790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Tier Surgical PLLC's NPI number?

The NPI number for Southern Tier Surgical PLLC is 1316296205. It was assigned to this organization in the NPPES registry on September 6, 2012.

Where is Southern Tier Surgical PLLC located?

Southern Tier Surgical PLLC is located at 30 Harrison Street Suite 320, Johnson City, NY 13790. The listed phone number is (607) 763-8205.

What is Southern Tier Surgical PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Southern Tier Surgical PLLC was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.