MEDICARE: TYRONE MEDICAL ASSOCIATES SPECS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1952344459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TYRONE MEDICAL ASSOCIATES SPECS

Provider Business Mailing Address
First Line	:	3 HOSPITAL DR
Second Line	:
City	:	TYRONE
State	:	PA
Zip	:	16686-1810
Country	:	US
Telephone Number	:	814-684-3101
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 HOSPITAL DR
Second Line	:
City	:	TYRONE
State	:	PA
Zip	:	16686-1810
Country	:	US
Telephone Number	:	814-684-3101
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE LEADER
Name	:	ELLEN MYERS
Credential	:
Telephone Number	:	814-684-3101

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1871588566 — TIMOTHY STEPHEN SKARADA PT
Practice Location Address:

1 HOSPITAL DR
TYRONE, PA
16686-1810

Practice Phone: 814-684-6309
Practice Fax: 814-684-6312

1154406924 — JOHN A SCHROTH PA
Practice Location Address:

1 HOSPITAL DR
TYRONE, PA
16686-1810

Practice Phone: 814-684-6374
Practice Fax: 814-684-6320

1891954814 — MRS. STEFANIE MAIRE LIEB DPT
Practice Location Address:

1 HOSPITAL DR
TYRONE, PA
16686-1810

Practice Phone: 814-684-6309
Practice Fax: 814-684-6312

1790119147 — MR. WESLEY ALLEN FURRY PT
Practice Location Address:

187 HOSPTIAL DRIVE
TYRONE, PA
16686-1810

Practice Phone: 814-684-6309
Practice Fax: 814-684-6312

1619974243 — DR. CARLOS A WIEGERING MD
Practice Location Address:

200 HOSPITAL DR , SUITE 3
TYRONE, PA
16686-1825

Practice Phone: 814-684-4472
Practice Fax: 814-684-4780

1790785582 — MARIANNE L SHAW M.D.
Practice Location Address:

154 HOSPITAL DR
TYRONE, PA
16686

Practice Phone: 814-684-6341
Practice Fax: 814-684-6343

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