Individual provider Active NPI

Jennifer Levash, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Malvern, PA
National Provider Identifier
1043594492
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055182 Issued in PA
Practice address
266 Lancaster Ave Ste 200
Malvern, PA 19355-3256
Phone
(610) 644-6900
Fax
(610) 644-7160
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055182 PA Primary
Physician Assistant 363A00000X OA002735 PA

Addresses

Primary practice location

266 Lancaster Ave Ste 200
Malvern, PA 19355-3256

Mailing address

266 Lancaster Ave Ste 200
Malvern, PA 19355-3256
Phone (610) 644-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020001799 SC Practitioner - Physician Assistant 3072744473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopaedics and Sports Medicine, LLC 4 clinicians

Practice addresses (Care Compare)

130 Crisanto Ave
Suite B
Fort Mill, SC 29715-6272
Phone (803) 548-6464

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA002735PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sports & Spine, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenniferlevash@specortho.directglo.com
  • Direct secure messaging: jlevash@soasm-sc.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1043594492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE STE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-644-6900",
            "fax_number": "610-644-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE STE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-644-6900",
            "fax_number": "610-644-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASH",
        "first_name": "JENNIFER",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055182",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.