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CANYON SURGICAL ASSOCIATES
NPI 1619948288
Surgery in Wellsboro, PA

Active since January 31, 2006
1 MAIN ST, WELLSBORO, PA 16901(570) 723-0716(570) 723-0638 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Surgical Associates NPPES

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

CANYON SURGICAL ASSOCIATES (NPI 1619948288) is a healthcare organization registered as a surgery in Wellsboro, Pennsylvania and active in the NPI registry since January 2006. The organization lists Bradley Mudge, Physician, as its authorized official.

NPPES Registry Identity

NPI1619948288
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTIOGA HEALTHCARE PROVIDERS INC-6
Location Address1 MAIN STWellsboro, PA 16901-1601
Mailing AddressPo Box 191Wellsboro, PA 16901-0191 · (570) 723-0716 · Fax (570) 723-0638
Phone(570) 723-0716
Fax(570) 723-0638
Organization SubpartYesParent: Laurel Health Systems
Authorized OfficialBradley MudgePhysician · (570) 723-0716
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJanuary 8, 2008
✔ NPI 1619948288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
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.
1 MAIN ST, Wellsboro, PA 16901
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Other Names 1

Doing Business AsCanyon Surgical Associates

Other Identifiers 3

Medicare PIN083778PA
Other1626712Highmark Blue Shield
OtherDC0711PA · Travelers Medicare

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 4

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

TIOGA HEALTH CARE PROVIDERS, INC
Surgery
1 MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 723-0716
MR. EDWARD R. HESS MD
Surgery
1 MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 723-0716
DEBRA S SILKES MD
Surgery
1 MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 723-0716
DARIUS ABADI D.O.
Surgery
1 MAIN ST
WELLSBORO, PA 16901
Tioga County (570) 723-0716

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 Tioga Healthcare Providers Inc-6's NPI number?

The NPI number for Tioga Healthcare Providers Inc-6 is 1619948288. It was assigned to this organization in the NPPES registry on January 31, 2006. The provider is doing business as Canyon Surgical Associates.

Where is Tioga Healthcare Providers Inc-6 located?

Tioga Healthcare Providers Inc-6 is located at 1 Main St, Wellsboro, PA 16901. The listed phone number is (570) 723-0716.

What is Tioga Healthcare Providers Inc-6'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 Tioga Healthcare Providers Inc-6 was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.