Sema4 Opco, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SEMA4 OPCO, INC.

Practice address

200 E 1St St
Winston Salem, NC 27101-4165

Phone

(800) 298-6470

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Eric Cohen

Title

VP Managed Care

Phone

(800) 298-6470

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Icahn School of Medicine at Mount Sinai

  • Specialty Pharmacy
  • New York, NY
  • NPI 1629410816

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Edelmann, PHD

  • Clinical Laboratory Director (Non-physician)
  • New York, NY
  • NPI 1144709205
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1265196471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LUDLOW STREET",
            "address_2": "8TH FLOOR, NORTH TOWER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "800-298-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014165",
            "telephone_number": "800-298-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMA4 OPCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "800-298-6470"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID #",
            "identifier": "33D2236887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Sells, AGACNP-BC
• Ashley Josette Selman, MD
• Larkin L Selman, MD
• Leilani Seltzer, LCSW
• Dez'Monee Selvey
• Elliott L Semble, M.D.
• Ellyn Semchenko, LCSWA
• Taras Semchyshyn
• Charles Thomas Alexander Semelka, MD
• Luke Seminara, NP AGACNP-BC

• Clinical Medical Laboratory in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.