Provider Demographics
NPI:1346497377
Name:HELMAN, TIFFANY KELLY (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:KELLY
Last Name:HELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:TIFFANY
Other - Middle Name:BROCK
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1086 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4305
Mailing Address - Country:US
Mailing Address - Phone:814-410-8300
Mailing Address - Fax:814-410-8331
Practice Address - Street 1:1611 WEST PITT STREET
Practice Address - Street 2:
Practice Address - City:JENNERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15547
Practice Address - Country:US
Practice Address - Phone:814-629-5647
Practice Address - Fax:814-629-5273
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026091900001Medicaid
PA223751Medicare PIN