OrganizationActive
Tioga Healthcare Providers Inc-6
NPI 1619948288 · Surgery Physician · Wellsboro, PA
Provider details
- NPI number
- 1619948288
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Laurel Health Systems
- Organization subpart
- Yes
- Authorized official
- Bradley Mudge, Physician(570) 723-0716
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1 Main St
Wellsboro, PA 16901-1601
Phone: (570) 723-0716
Fax: (570) 723-0638
Street-level locationGet directions
Mailing address
Po Box 191
Wellsboro, PA 16901-0191
Other names (DBA / former)
- Doing business as
- Canyon Surgical Associates
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.