Debra Ann Omlor

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053438 Issued in PA

Practice address

531 W Germantown Pike # 200-201
Plymouth Meeting, PA 19462-1325

Phone

(610) 828-0400

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Plymouth Meeting, P.C.Group PAC ID 6507841970, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.02 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Cost

86.35

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatology Associates of Plymouth Meeting, PC

  • Specialist
  • Plymouth Meeting, PA
  • NPI 1124082862
  Medicare reassignment Care Compare group
• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767
  Medicare reassignment
• Andrew K Pollack, MD

  • Dermatology Physician
  • Ft Washington, PA
  • NPI 1063416006
  Medicare reassignment
• Andrew K Pollack

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1760555924
  NPD (past)
• Marlene J. Mash, M.D., P.C.

  • Dermatology Physician
  • Plymouth Meeting, PA
  • NPI 1487704078
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1114166352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE # 200-201",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-0400",
            "fax_number": "610-828-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE # 200-201",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Germantown Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034245",
            "country_code": "US",
            "telephone_number": "610-828-0400",
            "fax_number": "484-679-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMLOR",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanya Olugbenga
• Peter Olumese, LPN
• Olumuyiwa O. Oluseye
• Anna Olusola
• Adetoun Oluwole
• Cleopatra Omorodion
• Olanrewaju T. Omowale
• Julius Onsongo, LPN
• Donatus Onuegbu
• Kalu Onuka

• Physician Assistant in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.