Active NPI
Samia Henien, MD
- Anatomic Pathology Physician
- Darby, PA
National Provider Identifier
1144201542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD044259
- Practice address
- 1500 Lansdowne Ave
Darby, PA 19023-1200 - Phone
- (610) 237-4544
- Fax
- (610) 237-5689
- NPI assigned
- Nov 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD044259 | PA | Primary |
Addresses
Primary practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
1 W Elm St
Conshohocken, PA 19428-2007
Phone (610) 567-6964
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021689 | Other | PA | BLUE SHIELD |
| 0014188340004 | Medicaid | PA | |
| 0658726000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1030298 | Other | PA | KMHP |
| 857810 | Other | PA | AETNA HMO |
| 5651086 | Other | PA | AENTA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044259 | PA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Anatomic Pathology | Current | Accepting new patients |
Locations
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Darby, PA
- NPI 1407839038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1144201542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6964",
"fax_number": "610-567-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231200",
"telephone_number": "610-237-4544",
"fax_number": "610-237-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENIEN",
"first_name": "SAMIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD044259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "021689",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014188340004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0658726000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "1030298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "857810",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA PPO",
"identifier": "5651086",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.