Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TYLERDALE FAMILY MEDICINE PC
Active
Organization
TYLERDALE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KITSKO D.O. (PRESIDENT)
(724) 222-7240
Entity
Organization
Contact information
Practice address
151 N FRANKLIN ST, WASHINGTON, PA 15301-4307
(724) 222-7240
Mailing address
151 N FRANKLIN ST, WASHINGTON, PA 15301-4307
(724) 222-7240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009402480001
—
PA
01
—
124474
HIGHMARK BS/KHPW
PA
Enumeration date
03/14/2006
Last updated
10/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up