1. Home
  2. Directory
  3. New York
  4. Johnson City
  5. Specialist
  6. NPI Profile

SOUTHERN TIER SURGICAL CLINIC
NPI 1679526669
Specialist in Johnson City, NY

Active since May 18, 2006
30 HARRISON ST, SUITE 320, JOHNSON CITY, NY 13790(607) 763-8205(607) 763-8208 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Tier Surgical Clinic NPPES

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

SOUTHERN TIER SURGICAL CLINIC (NPI 1679526669) is a healthcare organization registered as a specialist in Johnson City, New York and active in the NPI registry since May 2006. The organization lists Christian Dahn Tvetenstrand, President, as its authorized official.

NPPES Registry Identity

NPI1679526669
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHRISTIAN D. TVETENSTRAND MD, PLLC
Location Address30 HARRISON ST, SUITE 320Johnson City, NY 13790-2161
Mailing Address30 Harrison St, Suite 320Johnson City, NY 13790-2161 · (607) 763-8205 · Fax (607) 763-8208
Phone(607) 763-8205
Fax(607) 763-8208
Organization SubpartNo
Authorized OfficialChristian Dahn TvetenstrandPresident · (607) 763-8205
Enumeration DateMay 18, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1679526669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 178438
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 011154 (NY)
30 HARRISON ST, Johnson City, NY 13790
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Tier Surgical Clinic

Other Identifiers 1

Medicaid01135079NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. MICHAIL VITELLAS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, SUITE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JAMES J VINCENS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JEROME H ROSENSTEIN MD PLLC
Specialist
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205
J RICHARD CUNNINGHAM MD
Surgery
30 HARRISON ST, SUITE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
SERAZUL A KHAN MD
Internal Medicine (Hematology & Oncology)
30 HARRISON ST, SUITE 100
JOHNSON CITY, NY 13790
Broome County (607) 763-6850
MARK BRENNAN DO
Surgery (Vascular Surgery)
30 HARRISON ST, STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
CARDIOLOGY ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
WENDY RENEE ROBINSON NP
Nurse Practitioner
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205

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 Christian D. Tvetenstrand MD, PLLC's NPI number?

The NPI number for Christian D. Tvetenstrand MD, PLLC is 1679526669. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Southern Tier Surgical Clinic.

Where is Christian D. Tvetenstrand MD, PLLC located?

Christian D. Tvetenstrand MD, PLLC is located at 30 Harrison St Suite 320, Johnson City, NY 13790. The listed phone number is (607) 763-8205.

What is Christian D. Tvetenstrand MD, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Christian D. Tvetenstrand MD, PLLC was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.