OrganizationActive
Southern Tier Surgical PLLC
NPI 1316296205 · Surgery Physician · Johnson City, NY
Southern Tier Surgical PLLC is a Surgery Physician organization in Johnson City, NY (NPI 1316296205).
Provider details
- NPI number
- 1316296205
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christian Tvetenstrand, Surgeon(607) 763-8205
- License
- 178438 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Harrison Street
Suite 320
Johnson City, NY 13790-2162
Phone: (607) 763-8205
Fax: (607) 763-8208
Street-level locationGet directions
Mailing address
30 Harrison Street
Johnson City, NY 13790-2162
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2013-02-11
Frequently asked questions
- What is Southern Tier Surgical PLLC's NPI number?
- Southern Tier Surgical PLLC's National Provider Identifier (NPI) is 1316296205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Tier Surgical PLLC?
- Southern Tier Surgical PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Tier Surgical PLLC located?
- Southern Tier Surgical PLLC's practice location on file with NPPES is 30 Harrison Street, Johnson City, NY 13790-2162.
- What is Southern Tier Surgical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Tier Surgical PLLC is (607) 763-8205.
- Who is the authorized official for Southern Tier Surgical PLLC?
- The authorized official listed on Southern Tier Surgical PLLC's NPPES record is Christian Tvetenstrand, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Tier Surgical PLLC's NPI active?
- Yes — Southern Tier Surgical PLLC's NPI (1316296205) is active in the NPPES registry as of the last update on 2013-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.