MEDICARE: ELIXIR PEDIATRICS, PC

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	208000000X	Pediatrics Physician	MD041730L	PA

General Provider Information

NPI Number	:	1841479136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIXIR PEDIATRICS, PC

Provider Business Mailing Address
First Line	:	PO BOX 415
Second Line	:
City	:	HARRISON CITY
State	:	PA
Zip	:	15636-0415
Country	:	US
Telephone Number	:	724-744-3660
Fax Number	:	724-744-3815

Provider Business Practice Location Address
First Line	:	3344 ROUTE 130
Second Line	:	SUITE A
City	:	HARRISON CITY
State	:	PA
Zip	:	15636-1238
Country	:	US
Telephone Number	:	724-744-3660
Fax Number	:	724-744-3815

Authorized Official
Title or Position	:	M.D.
Name	:	MARIE KWAI-CHE TAN
Credential	:	M.D.
Telephone Number	:	724-744-3660

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	12/13/2007

Similar Medicare Providers

1497725568 — W. BRETT CAROTHERS DC
Practice Location Address:

3344 ROUTE 130 , SUITE C
HARRISON CITY, PA
15636-1238

Practice Phone: 412-374-1400
Practice Fax: 412-374-1416

1356311625 — DR. MICHAEL C. FLYNN DC
Practice Location Address:

3344 ROUTE 130 STE C
HARRISON CITY, PA
15636-1238

Practice Phone: 412-522-8251
Practice Fax: 412-374-1416

1679521496 — MARIE KWAI-CHE TAN M.D.
Practice Location Address:

3344 ROUTE 130 , SUITE A,
HARRISON CITY, PA
15636-1238

Practice Phone: 724-744-3660
Practice Fax: 724-744-3815

1548391477 — MRS. JENNIFER L SMITH MS, ATC, LAT
Practice Location Address:

3381 ROUTE 130
HARRISON CITY, PA
15636-1238

Practice Phone: 724-744-0580
Practice Fax:

1811264013 — GINA MARIE LINN LAT, ATC
Practice Location Address:

3381 ROUTE 130
HARRISON CITY, PA
15636-1238

Practice Phone: 724-744-0580
Practice Fax:

1811992001 — 3JB LLC
Practice Location Address:

2106 ROUTE 130
HARRISON CITY, PA
15636-1516

Practice Phone: 724-744-3300
Practice Fax: 724-744-2351

Directions to “ELIXIR PEDIATRICS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.