Provider Demographics
NPI:1558568287
Name:AMERICAN SURGERY CENTER, P.C.
Entity Type:Organization
Organization Name:AMERICAN SURGERY CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:TUONO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-684-5618
Mailing Address - Street 1:3 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1802
Mailing Address - Country:US
Mailing Address - Phone:814-684-5618
Mailing Address - Fax:814-684-5998
Practice Address - Street 1:3 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686-1802
Practice Address - Country:US
Practice Address - Phone:814-684-5618
Practice Address - Fax:814-684-5998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008693L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1373012OtherBLUE SHIELD
PA0017578750002Medicaid
PA0017578750002Medicaid
PA029044Medicare ID - Type Unspecified