Active NPI
Karen B Bohenek, PA
- Medical Physician Assistant
- Pottsville, PA
National Provider Identifier
1215033006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA002272L
- Practice address
- 700 E Norwegian St
Pottsville, PA 17901-2710 - Phone
- (570) 621-4143
- Fax
- (570) 621-4769
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA002272L | PA | Primary |
Addresses
Primary practice location
700 E Norwegian St
Pottsville, PA 17901-2710
Mailing address
649 S Route 183
Schuylkill Haven, PA 17972-8921
Phone (570) 590-1701
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Pottsville ENT, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1043261183
-
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- Danville, PA
- NPI 1558313023
-
- Otolaryngic Allergy Physician
- Pottsville, PA
- NPI 1336110261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215033006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 S ROUTE 183",
"city": "SCHUYLKILL HAVEN",
"state": "PA",
"postal_code": "179728921",
"telephone_number": "570-590-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E NORWEGIAN ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012710",
"telephone_number": "570-621-4143",
"fax_number": "570-621-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHENEK",
"first_name": "KAREN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002272L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.